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1780673707
MICHAEL D WHITE
NAMPA, ID
NPI
1780673707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PT-1206)
Enumeration Date
2005-10-21
Last Update Date
2013-02-19
Business Address
-- MICHAEL D WHITE PA-C
215 E HAWAII AVE
NAMPA, ID 83686-6011
Phone number: 208-463-3234
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Mailing Address
-- MICHAEL D WHITE PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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