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1689301152
ELIZABETH MULLIN
BELLEVUE, ID
NPI
1689301152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2609)
Enumeration Date
2022-08-04
Last Update Date
2023-10-03
Business Address
ELIZABETH MULLIN
621 N MAIN ST
BELLEVUE, ID 83313-5093
Phone number: 208-725-3145
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Mailing Address
ELIZABETH MULLIN
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-3312
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