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1851658595
DALLIN ANDERSEN
MERIDIAN, ID
NPI
1851658595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22062)
Enumeration Date
2012-04-19
Last Update Date
2022-10-04
Business Address
DALLIN ANDERSEN PA-C
1494 W. USTICK RD. 110
MERIDIAN, ID 83646
Phone number: 208-908-7797
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Mailing Address
DALLIN ANDERSEN PA-C
1494 W. USTICK RD. 110
MERIDIAN, ID 83646
Phone number: 208-954-0101
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