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1639248008
LORI ANN WOODBURY
IDAHO FALLS, ID
NPI
1639248008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA410)
Enumeration Date
2006-11-07
Last Update Date
2016-05-31
Business Address
-- LORI ANN WOODBURY PA
2327 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2900
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Mailing Address
-- LORI ANN WOODBURY PA
3450 POTOMAC WAY
IDAHO FALLS, ID 83404-4970
Phone number: 208-552-6904
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