LAURA A TABOR

IDAHO FALLS, ID
NPI1538121322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA415)
Enumeration Date2006-04-05
Last Update Date2010-07-19
Business Address
-- LAURA A TABOR P.A.
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
Mailing Address
-- LAURA A TABOR P.A.
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
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