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1699290296
JASON SMITH
MERIDIAN, ID
NPI
1699290296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2116)
Enumeration Date
2017-08-04
Last Update Date
2022-08-10
Business Address
JASON SMITH PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
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Mailing Address
JASON SMITH PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
Copy
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