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1184635427
TERESA ANN DEBLIECK
MERIDIAN, ID
NPI
1184635427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT915)
Enumeration Date
2006-08-11
Last Update Date
2008-04-08
Business Address
Ms. TERESA ANN DEBLIECK MSPT
1618 S MILLENIUM WAY SUITE 210
MERIDIAN, ID 33642
Phone number: 208-884-4647
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Mailing Address
Ms. TERESA ANN DEBLIECK MSPT
1673 W SHORELINE DR SUITE 230
BOISE, ID 83702
Phone number: 208-343-4700
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