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1780032649
BRENT TAYLOR
MERIDIAN, ID
NPI
1780032649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1578)
Enumeration Date
2016-06-01
Last Update Date
2018-03-28
Business Address
Mr. BRENT TAYLOR
2347 E GALA ST
MERIDIAN, ID 83642-4881
Phone number: 208-706-6718
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Mailing Address
Mr. BRENT TAYLOR
4311 11TH AVENUE NE, SUITE 200 MEDEX NORTHWEST
SEATTLE, WA 98105
Phone number:
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