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1184134843
ERIN MARIE SHUMARD
MERIDIAN, ID
NPI
1184134843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1542)
Enumeration Date
2017-10-09
Last Update Date
2019-08-23
Business Address
ERIN MARIE SHUMARD
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-377-4400
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Mailing Address
ERIN MARIE SHUMARD
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-985-1399
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