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1659689362
STEVEN L NELSON
POCATELLO, ID
NPI
1659689362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ID PA-860)
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
-- STEVEN L NELSON PA-C
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1960
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Mailing Address
-- STEVEN L NELSON PA-C
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1960
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