CRYSTAL NOEL ODEGARD

EAGLE, ID
NPI1962081810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1982)
Enumeration Date2021-04-07
Last Update Date2021-04-07
Business Address
Mrs. CRYSTAL NOEL ODEGARD PA-C
1079 S ANCONA AVE STE 100
EAGLE, ID 83616-7443
Phone number: 208-853-2273
Mailing Address
Mrs. CRYSTAL NOEL ODEGARD PA-C
1652 W SUNNY SLOPE DR
MERIDIAN, ID 83642-4336
Phone number: 541-285-4851
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