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1003279357
KYLEE MICHELLE PERMANN
POCATELLO, ID
NPI
1003279357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: ID 1559)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
-- KYLEE MICHELLE PERMANN OTD, OTR/L
560 MEMORIAL DR STE B
POCATELLO, ID 83201-4073
Phone number: 208-478-0258
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Mailing Address
-- KYLEE MICHELLE PERMANN OTD, OTR/L
560 MEMORIAL DR STE B
POCATELLO, ID 83201-4073
Phone number: 208-478-0258
Copy
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