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1760414023
MOLLY F ROY
MERIDIAN, ID
NPI
1760414023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-739)
Enumeration Date
2006-07-07
Last Update Date
2013-01-04
Business Address
Mrs. MOLLY F ROY PA-C
2347 E GALA ST
MERIDIAN, ID 83642-4881
Phone number: 208-323-3767
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Mailing Address
Mrs. MOLLY F ROY PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-454-0567
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