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1659147544
JORDAN THOMAS LAUBY
BONNERS FERRY, ID
NPI
1659147544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2724)
Enumeration Date
2023-11-30
Last Update Date
2024-02-13
Business Address
JORDAN THOMAS LAUBY PA-C
6615 COMANCHE ST
BONNERS FERRY, ID 83805-7523
Phone number: 208-267-1718
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Mailing Address
JORDAN THOMAS LAUBY PA-C
6615 COMANCHE ST
BONNERS FERRY, ID 83805-7523
Phone number:
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