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1174249098
JOSEPH DELLA LUCIA
IDAHO FALLS, ID
NPI
1174249098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ID OT-2586)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
JOSEPH DELLA LUCIA
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
JOSEPH DELLA LUCIA
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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