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1730149865
DEBRA R RAY
POCATELLO, ID
NPI
1730149865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID pa-419)
Enumeration Date
2006-03-24
Last Update Date
2007-07-11
Business Address
-- DEBRA R RAY pa
500 S 11TH AVE SUITE 305
POCATELLO, ID 83201-4835
Phone number: 208-233-5864
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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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