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1740646363
CHAD COON
IDAHO FALLS, ID
NPI
1740646363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9653019-1206)
Enumeration Date
2016-01-12
Last Update Date
2021-09-01
Business Address
CHAD COON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355
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Mailing Address
CHAD COON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355
Copy
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