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1023419074
LISA LOUISE HAMILTON
BOISE, ID
NPI
1023419074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 1398)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
LISA LOUISE HAMILTON PT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
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Mailing Address
LISA LOUISE HAMILTON PT
3863 E 390 N
RIGBY, ID 83442-5118
Phone number: 208-251-4893
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