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1821695792
CHELSEA DYLAN TENNENT
BOISE, ID
NPI
1821695792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID GPA-068)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
CHELSEA DYLAN TENNENT PA-C
1666 E GENTLEWIND ST
BOISE, ID 83706-5914
Phone number: 208-830-5018
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Mailing Address
CHELSEA DYLAN TENNENT PA-C
1666 E GENTLEWIND ST
BOISE, ID 83706-5914
Phone number: 208-830-5018
Copy
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