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1255919734
A SHURAVLOFF
IDAHO FALLS, ID
NPI
1255919734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP61542694)
Enumeration Date
2021-03-29
Last Update Date
2024-09-12
Business Address
A SHURAVLOFF DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
A SHURAVLOFF DO
30207 US 2
SULTAN, WA 98294-8693
Phone number: 360-793-0201
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