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1043882806
CODY GEORGE
NAMPA, ID
NPI
1043882806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
CODY GEORGE
823 PARKCENTRE WAY
NAMPA, ID 83651-1783
Phone number: 800-926-2588
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Mailing Address
CODY GEORGE
4112 PINTAIL LN
NAMPA, ID 83686-8734
Phone number: 701-721-3506
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