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1255808010
TAWNY ALICE SPURLOCK
POCATELLO, ID
NPI
1255808010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
TAWNY ALICE SPURLOCK PA-C
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
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Mailing Address
TAWNY ALICE SPURLOCK PA-C
350 RANDOLPH AVE
POCATELLO, ID 83201-3935
Phone number: 208-221-0725
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