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1528533296
SCOTT CORY STUART
BURLEY, ID
NPI
1528533296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1850)
Enumeration Date
2018-10-09
Last Update Date
2020-02-20
Business Address
SCOTT CORY STUART PA-C
1344 HILAND AVE STE D
BURLEY, ID 83318-1564
Phone number: 208-572-6005
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Mailing Address
SCOTT CORY STUART PA-C
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
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