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1124721220
KORIE LEIGHANNE SWAIN
BOISE, ID
NPI
1124721220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-4733)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
KORIE LEIGHANNE SWAIN PTA
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
KORIE LEIGHANNE SWAIN PTA
64 N PLEASANT HILL DR
NAMPA, ID 83651-5025
Phone number: 208-899-7805
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