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1144627605
SCOTT ALEXANDER MCLELLAN
BOISE, ID
NPI
1144627605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3692)
Enumeration Date
2014-11-28
Last Update Date
2014-11-28
Business Address
SCOTT ALEXANDER MCLELLAN PTA
3383 E WHITMAN DR
BOISE, ID 83716-5677
Phone number: 208-345-3323
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Mailing Address
SCOTT ALEXANDER MCLELLAN PTA
3383 E WHITMAN DR
BOISE, ID 83716-5677
Phone number: 208-345-3323
Copy
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