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1053836361
AMBER VALENE HAWKER
BLACKFOOT, ID
NPI
1053836361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ID 5142)
Enumeration Date
2017-08-08
Last Update Date
2022-07-21
Business Address
AMBER VALENE HAWKER PTA
285 W FRANCIS ST
BLACKFOOT, ID 83221-1751
Phone number: 208-785-0123
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Mailing Address
AMBER VALENE HAWKER PTA
285 W FRANCIS ST
BLACKFOOT, ID 83221-1751
Phone number: 208-785-0123
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