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1649224783
LAURA JEAN LATA
SANDPOINT, ID
NPI
1649224783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-1047A)
Enumeration Date
2006-05-22
Last Update Date
2023-03-07
Business Address
Mrs. LAURA JEAN LATA ANP
810 N. SIXTH AVENUE
SANDPOINT, ID 83864
Phone number: 208-265-2242
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Mailing Address
Mrs. LAURA JEAN LATA ANP
1052 W MILL AVE
COEUR D ALENE, ID 83814-2444
Phone number: 208-664-3301
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