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1053926816
TYLER JAMES HOLLOWAY
NAMPA, ID
NPI
1053926816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ID OT-2206)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
TYLER JAMES HOLLOWAY OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
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Mailing Address
TYLER JAMES HOLLOWAY OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
Copy
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