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1356346712
MICHAEL LOUNSBURY
MOSCOW, ID
NPI
1356346712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: WA PA10002373)
Enumeration Date
2005-06-14
Last Update Date
2021-06-22
Business Address
MR. MICHAEL LOUNSBURY PAC
318 N LINCOLN ST
MOSCOW, ID 83843-3243
Phone number: 208-827-6127
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Mailing Address
MR. MICHAEL LOUNSBURY PAC
318 N LINCOLN ST
MOSCOW, ID 83843-3243
Phone number: 208-827-6127
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