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1174276984
SAMANTHA MILBURN
BOISE, ID
NPI
1174276984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1498)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
SAMANTHA MILBURN COTA/L
5173 W BAINBRIDGE DR
BOISE, ID 83703-3417
Phone number: 208-350-1331
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Mailing Address
SAMANTHA MILBURN COTA/L
5173 W BAINBRIDGE DR
BOISE, ID 83703-3417
Phone number: 208-350-1331
Copy
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