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1922088905
KEVIN M HUDSON
BOISE, ID
NPI
1922088905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA488)
Enumeration Date
2006-01-18
Last Update Date
2011-02-16
Business Address
KEVIN M HUDSON PA-C
1520 W STATE ST STE 100
BOISE, ID 83702-4038
Phone number: 208-947-7700
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Mailing Address
KEVIN M HUDSON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-947-7700
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