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1295787240
SCOTT B BURNETT
BOISE, ID
NPI
1295787240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ID PA-384)
Enumeration Date
2006-05-17
Last Update Date
2011-02-17
Business Address
-- SCOTT B BURNETT PA
333 N 1ST ST SUITE 280
BOISE, ID 83702-6100
Phone number: 208-345-6545
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Mailing Address
-- SCOTT B BURNETT PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-6545
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