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1184775124
BRENDA BOYKO
MOSCOW, ID
NPI
1184775124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID RPT-1512)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- BRENDA BOYKO P.T.
810 S. MAIN ST.
MOSCOW, ID 83843
Phone number: 208-883-1522
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Mailing Address
-- BRENDA BOYKO P.T.
1055 PRESBY RD
VIOLA, ID 83872-9767
Phone number: 208-882-3839
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