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1972560480
ELLEN K JUDD
BURLEY, ID
NPI
1972560480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-98)
Enumeration Date
2006-04-27
Last Update Date
2012-11-26
Business Address
-- ELLEN K JUDD P.A.
1308 BENNETT AVE
BURLEY, ID 83318-2665
Phone number: 208-678-7796
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Mailing Address
-- ELLEN K JUDD P.A.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-3312
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