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1184048100
KEVIN DAGOSTINO
BOISE, ID
NPI
1184048100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1198)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
-- KEVIN DAGOSTINO MS, OTR/L
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444
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Mailing Address
-- KEVIN DAGOSTINO MS, OTR/L
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444
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