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1962962118
WESLEY ADAM SEMONCHUK
MERIDIAN, ID
NPI
1962962118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1958)
Enumeration Date
2019-03-23
Last Update Date
2020-11-11
Business Address
Mr. WESLEY ADAM SEMONCHUK
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone number: 208-384-9022
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Mailing Address
Mr. WESLEY ADAM SEMONCHUK
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone number: 208-384-9022
Copy
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