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1013109313
ERICA LANE BUNNELL
BOISE, ID
NPI
1013109313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID DPT-2214)
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
Ms. ERICA LANE BUNNELL DPT
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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Mailing Address
Ms. ERICA LANE BUNNELL DPT
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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