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1639151848
TRUDY BEARDEN
POCATELLO, ID
NPI
1639151848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-543)
Enumeration Date
2005-11-15
Last Update Date
2009-08-01
Business Address
-- TRUDY BEARDEN PA-C
465 MEMORIAL DR
POCATELLO, ID 83209-0001
Phone number: 208-282-4700
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Mailing Address
-- TRUDY BEARDEN PA-C
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number:
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