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1023656618
LISA CAMILLE DIALOGUE
BOISE, ID
NPI
1023656618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-5601)
Enumeration Date
2019-12-15
Last Update Date
2019-12-15
Business Address
LISA CAMILLE DIALOGUE PTA
6074 N DISCOVERY WAY STE 110
BOISE, ID 83713-0210
Phone number: 208-288-1155
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Mailing Address
LISA CAMILLE DIALOGUE PTA
6074 N DISCOVERY WAY STE 110
BOISE, ID 83713-0210
Phone number: 208-288-1155
Copy
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