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1124170121
MARY M HECKEL
BOISE, ID
NPI
1124170121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1046)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- MARY M HECKEL PT
448 S MAPLE GROVE ROAD
BOISE, ID 83709
Phone number: 208-859-9953
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Mailing Address
-- MARY M HECKEL PT
4488 YORGASON WAY
BOISE, ID 83703-3146
Phone number: 208-859-9953
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