KIM GLENN

LEWISTON, ID
NPI1891972568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-714)
Enumeration Date2008-01-24
Last Update Date2008-01-24
Business Address
-- KIM GLENN PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
Mailing Address
-- KIM GLENN PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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