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1659627586
JAMES LEE BURRUP
BOISE, ID
NPI
1659627586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-991)
Enumeration Date
2012-07-30
Last Update Date
2022-03-15
Business Address
Mr. JAMES LEE BURRUP PA
500 W. FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1000
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Mailing Address
Mr. JAMES LEE BURRUP PA
13153 W PAINT DR
BOISE, ID 83713-1928
Phone number: 208-918-2336
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