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1962467977
LAURA K. BURGESON
HAYDEN, ID
NPI
1962467977
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Former Name
LAURA K TRIPHAHN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA533)
Enumeration Date
2006-04-20
Last Update Date
2021-06-16
Business Address
LAURA K. BURGESON PA-C
1986 W HAYDEN AVE
HAYDEN, ID 83835-7412
Phone number: 208-762-7760
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Mailing Address
LAURA K. BURGESON PA-C
1986 W HAYDEN AVE
HAYDEN, ID 83835-7412
Phone number: 208-762-7760
Copy
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