LAURA POLY

BOISE, ID
NPI1386933513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-895)
Enumeration Date2011-03-28
Last Update Date2022-02-25
Business Address
LAURA POLY PA
500 W FORT ST # 111
BOISE, ID 83702-4599
Phone number: 208-422-1325
Mailing Address
LAURA POLY PA
500 W FORT ST # 111
BOISE, ID 83702-4599
Phone number: 208-422-1325
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