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1760597462
KAREN DICKERSON
POCATELLO, ID
NPI
1760597462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA566)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
KAREN DICKERSON PA-C
1352 E CENTER ST
POCATELLO, ID 83201-4734
Phone number: 208-234-2001
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Mailing Address
KAREN DICKERSON PA-C
PO BOX O
POCATELLO, ID 83205-0049
Phone number: 208-234-2001
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