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Individual

MS. PATRICIA ANTOINETTE DOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, MS, MS

Contact information

Practice address
6200 WEST EMERALD STREET, BOISE, ID 83704
(208) 367-7740
(208) 367-3390
Mailing address
6200 WEST EMERALD STREET, BOISE, ID 83704
(208) 367-7740
(208) 367-3390

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2005070
ID

Other

Enumeration date
07/12/2006
Last updated
03/27/2012
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