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1124458435
DIANE GOODMAN
MERIDIAN, ID
NPI
1124458435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1736)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- DIANE GOODMAN
520 S EAGLE RD STE 2106
MERIDIAN, ID 83642-6363
Phone number: 208-706-5775
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Mailing Address
-- DIANE GOODMAN
3732 S DAISY WAY
BOISE, ID 83709-3762
Phone number:
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