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1215926258
LAURIE GALLEGOS
COEUR D ALENE, ID
NPI
1215926258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA744)
Enumeration Date
2005-10-20
Last Update Date
2014-06-27
Business Address
-- LAURIE GALLEGOS PA-C
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
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Mailing Address
-- LAURIE GALLEGOS PA-C
2195 IRONWOOD CT
COEUR D ALENE, ID 83814-2628
Phone number: 208-769-1406
Copy
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