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1073920682
KELCI DENAE MAR
BOISE, ID
NPI
1073920682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3491)
Enumeration Date
2014-07-15
Last Update Date
2014-09-16
Business Address
-- KELCI DENAE MAR DPT
7979 W RIFLEMAN ST SUITE 100
BOISE, ID 83704-9066
Phone number: 805-571-1000
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Mailing Address
-- KELCI DENAE MAR DPT
7809 W WESLEY DR
BOISE, ID 83704-7253
Phone number: 785-424-4846
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