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1205170768
ANSON P TAYLOR
MERIDIAN, ID
NPI
1205170768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA 151)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
MR. ANSON P TAYLOR COTA/L
1351 W PINE AVE
MERIDIAN, ID 83642-5031
Phone number: 208-888-7049
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Mailing Address
MR. ANSON P TAYLOR COTA/L
2617 S LEADVILLE AVE
BOISE, ID 83706-4735
Phone number: 208-724-0356
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