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1962571331
MELISSA D BATES
IDAHO FALLS, ID
NPI
1962571331
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Former Name
MELISSA D CUSHMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA513)
Enumeration Date
2006-11-07
Last Update Date
2018-09-21
Business Address
MELISSA D BATES PA
808 PANCHERI DR
IDAHO FALLS, ID 93402-3344
Phone number: 208-552-6900
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Mailing Address
MELISSA D BATES PA
3450 POTOMAC WAY
IDAHO FALLS, ID 83404-4970
Phone number: 208-557-2900
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