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1174179600
KIMBERLY ANNE DANNHARDT
BOISE, ID
NPI
1174179600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1449)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
KIMBERLY ANNE DANNHARDT COTA
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
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Mailing Address
KIMBERLY ANNE DANNHARDT COTA
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
Copy
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