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1699811463
PAUL A GAGNON
POCATELLO, ID
NPI
1699811463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D3946)
Enumeration Date
2007-01-29
Last Update Date
2011-11-14
Business Address
DR. PAUL A GAGNON D.M.D.
1169 CALL CREEK DR SUITE A
POCATELLO, ID 83201-3077
Phone number: 208-233-8620
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Mailing Address
DR. PAUL A GAGNON D.M.D.
1169 CALL CREEK DR SUITE A
POCATELLO, ID 83201-3077
Phone number: 208-233-8620
Copy
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