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1194132860
RYAN BURKE
BOISE, ID
NPI
1194132860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1179)
Enumeration Date
2014-07-15
Last Update Date
2017-02-17
Business Address
RYAN BURKE PA
8971 W OVERLAND RD
BOISE, ID 83709-1651
Phone number: 208-378-4288
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Mailing Address
RYAN BURKE PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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