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1003023334
DIANNE DENISE NELSON
BOISE, ID
NPI
1003023334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 1193)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mrs. DIANNE DENISE NELSON PT
1130 ALLUMBAUGH ST
BOISE, ID 83704-8700
Phone number: 208-854-8517
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Mailing Address
Mrs. DIANNE DENISE NELSON PT
6199 N BUCKLEY PL
BOISE, ID 83713-1202
Phone number:
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