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1831647197
NICHOLAS HENSLEY
IDAHO FALLS, ID
NPI
1831647197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ID PA-1410)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
Mr. NICHOLAS HENSLEY MPAS, PA-C
3155 CHANNING WAY STE B
IDAHO FALLS, ID 83404-7534
Phone number: 208-535-4800
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Mailing Address
Mr. NICHOLAS HENSLEY MPAS, PA-C
3155 CHANNING WAY STE B
IDAHO FALLS, ID 83404-7534
Phone number: 208-535-4800
Copy
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