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1760144687
MITCHELL ANDREW BLISS
BOISE, ID
NPI
1760144687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2134)
Enumeration Date
2021-10-07
Last Update Date
2024-10-02
Business Address
MITCHELL ANDREW BLISS PA
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
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Mailing Address
MITCHELL ANDREW BLISS PA
PO BOX 31001-2360
PASADENA, CA 91110-2360
Phone number:
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