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1285986778
TARA J BRUMPTON
BOISE, ID
NPI
1285986778
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Former Name
TARA J EVANS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID 1005)
Enumeration Date
2012-10-08
Last Update Date
2023-04-19
Business Address
TARA J BRUMPTON PA-C
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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Mailing Address
TARA J BRUMPTON PA-C
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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