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1992270557
SAMANTHA JO SMITH
BOISE, ID
NPI
1992270557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-10
Last Update Date
2020-02-17
Business Address
SAMANTHA JO SMITH PA-C
1000 E PARK BLVD
BOISE, ID 83712-7791
Phone number: 208-871-0644
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Mailing Address
SAMANTHA JO SMITH PA-C
3622 W SUNSET AVE
BOISE, ID 83703-4855
Phone number: 208-871-0644
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