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1801963459
JAMES L BLAINE
POCATELLO, ID
NPI
1801963459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-353)
Enumeration Date
2006-11-29
Last Update Date
2022-06-29
Business Address
JAMES L BLAINE P.A.-C
1448 E CENTER ST STE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
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Mailing Address
JAMES L BLAINE P.A.-C
1448 E CENTER ST STE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
Copy
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