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1740590314
ASHLEY NICHOLE THOMAS
BLACKFOOT, ID
NPI
1740590314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-862)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
ASHLEY NICHOLE THOMAS PA-C
710 E. ALICE STREET
BLACKFOOT, ID 83221
Phone number: 208-785-1200
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Mailing Address
ASHLEY NICHOLE THOMAS PA-C
6286 S 5TH AVE
POCATELLO, ID 83204-2207
Phone number: 208-766-6570
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