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1801256532
SASHA MUSSO
BOISE, ID
NPI
1801256532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1851)
Enumeration Date
2016-02-23
Last Update Date
2022-11-15
Business Address
SASHA MUSSO PA
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
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Mailing Address
SASHA MUSSO PA
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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