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1891197570
EMILY MOORE
BOISE, ID
NPI
1891197570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-1200)
Enumeration Date
2014-09-24
Last Update Date
2024-10-10
Business Address
EMILY MOORE PA-C
701 E PARKCENTER BLVD
BOISE, ID 83706-6528
Phone number: 208-381-4210
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Mailing Address
EMILY MOORE PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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