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1881209336
DANIEL JAMES COUNCELL
BOISE, ID
NPI
1881209336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
Mr. DANIEL JAMES COUNCELL PA-C
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
Mr. DANIEL JAMES COUNCELL PA-C
1106 N 15TH ST
BOISE, ID 83702-3401
Phone number: 828-551-6356
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