KYLE HOLLENBACK

MOUNTAIN HOME, ID
NPI1932574381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  1330)
Enumeration Date2015-12-10
Last Update Date2020-02-19
Business Address
KYLE HOLLENBACK
2280 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3142
Phone number: 208-587-3988
Mailing Address
KYLE HOLLENBACK
486 W 1ST AVE
GLENNS FERRY, ID 83623-2701
Phone number:
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