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1841545902
MICHAEL JOHN SERMON
MERIDIAN, ID
NPI
1841545902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA1764)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2012-07-16
Last Update Date
2024-06-06
Business Address
MICHAEL JOHN SERMON PA-C
2939 W EXCURSION LN
MERIDIAN, ID 83642-5308
Phone number: 208-385-7711
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Mailing Address
MICHAEL JOHN SERMON PA-C
2939 W EXCURSION LN
MERIDIAN, ID 83642-5308
Phone number: 208-385-7711
Copy
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