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1053772103
MELISSA SPERO
BOISE, ID
NPI
1053772103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA - 051)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
MELISSA SPERO COTA/L
8211 W USTICK RD
BOISE, ID 83704-5756
Phone number: 120-837-5370
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Mailing Address
MELISSA SPERO COTA/L
8211 W USTICK RD
BOISE, ID 83704-5756
Phone number: 120-837-5370
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