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1811361124
CALEB SIRES
BOISE, ID
NPI
1811361124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA1327)
Enumeration Date
2015-11-24
Last Update Date
2019-04-25
Business Address
CALEB SIRES PA-C
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
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Mailing Address
CALEB SIRES PA-C
3340 E GOLDSTONE DR
MERIDIAN, ID 83642
Phone number: 208-302-5950
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