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1992040992
AUTUMN HEUMAN
BOISE, ID
NPI
1992040992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1032)
Enumeration Date
2012-12-01
Last Update Date
2012-12-01
Business Address
-- AUTUMN HEUMAN P.A.
4305 N EAGLE RD
BOISE, ID 83713-4722
Phone number: 208-939-3110
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Mailing Address
-- AUTUMN HEUMAN P.A.
4305 N EAGLE RD
BOISE, ID 83713-4722
Phone number: 208-939-3110
Copy
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