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1154792315
GWENDOLYN BAIRD
MT HOME, ID
NPI
1154792315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-542)
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
GWENDOLYN BAIRD
245 N 3RD E
MT HOME, ID 83647-2734
Phone number: 208-587-8255
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Mailing Address
GWENDOLYN BAIRD
2268 E COURTLAND DR
EAGLE, ID 83616-6194
Phone number: 208-761-2618
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