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1770573644
DARRELL L KING
BOISE, ID
NPI
1770573644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA235)
Enumeration Date
2005-10-24
Last Update Date
2012-02-06
Business Address
-- DARRELL L KING PA
500 W. FORT STREET BOISE VA
BOISE, ID 83702-4501
Phone number: 208-422-1136
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Mailing Address
-- DARRELL L KING PA
500 W. FORT STREET BOISE VA
BOISE, ID 83702-4501
Phone number: 208-422-1136
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