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1780617811
BECKY J WELLS
MERIDIAN, ID
NPI
1780617811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-839)
Enumeration Date
2006-07-09
Last Update Date
2019-03-26
Business Address
BECKY J WELLS PAC
260 S TEN MILE RD
MERIDIAN, ID 83642-6100
Phone number: 208-809-2872
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Mailing Address
BECKY J WELLS PAC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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