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1205194008
KAVITA PATIL
BOISE, ID
NPI
1205194008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ID OT 787)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- KAVITA PATIL
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-706-5549
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Mailing Address
-- KAVITA PATIL
1394 E HOLLY ST
BOISE, ID 83712-8307
Phone number: 208-891-3808
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