DEBRA R RAY

POCATELLO, ID
NPI1730149865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA-419)
Enumeration Date2006-03-24
Last Update Date2007-07-11
Business Address
DEBRA R RAY PA
500 S 11TH AVE SUITE 305
POCATELLO, ID 83201-4835
Phone number: 208-233-5864
Mailing Address
DEBRA R RAY PA
500 S 11TH AVE STE 305
POCATELLO, ID 83201-4879
Phone number: 208-233-5864
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