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Individual

MR. SEAN A JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1136
(208) 422-1243
Mailing address
6246 S KELTON PL, BOISE, ID 83716-7029
(208) 424-0153

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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