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1801978135
STEPHANIE DALTON
BOISE, ID
NPI
1801978135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA374)
Enumeration Date
2006-10-19
Last Update Date
2022-10-04
Business Address
STEPHANIE DALTON PA-C
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-377-5055
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Mailing Address
STEPHANIE DALTON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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