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1801948591
JUDE BOUTKASKA
BOISE, ID
NPI
1801948591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA343)
Enumeration Date
2007-01-16
Last Update Date
2021-04-16
Business Address
Mr. JUDE BOUTKASKA PA
413 ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-362-6162
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Mailing Address
Mr. JUDE BOUTKASKA PA
413 ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-362-6162
Copy
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