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1720020217
MARY ANN TUTHILL
BOISE, ID
NPI
1720020217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-13)
Enumeration Date
2006-06-11
Last Update Date
2009-01-05
Business Address
-- MARY ANN TUTHILL PA
6533 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-367-4170
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Mailing Address
-- MARY ANN TUTHILL PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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