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1841487840
NICHOLAS A HALE
POCATELLO, ID
NPI
1841487840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-686)
Enumeration Date
2007-10-03
Last Update Date
2024-02-06
Business Address
Mr. NICHOLAS A HALE PA
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
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Mailing Address
Mr. NICHOLAS A HALE PA
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
Copy
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