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1063937134
KAITLIN BAILEY LIVESAY VAIL
POCATELLO, ID
NPI
1063937134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-5241)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
KAITLIN BAILEY LIVESAY VAIL
921 S 8TH AVE STOP 8045
POCATELLO, ID 83201-5377
Phone number: 208-282-4095
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Mailing Address
KAITLIN BAILEY LIVESAY VAIL
921 S 8TH AVE STOP 8045
POCATELLO, ID 83201-5377
Phone number:
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