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1275506768
ANDREA L LADOUCEUR
BOISE, ID
NPI
1275506768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1984)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Mrs. ANDREA L LADOUCEUR DPT
5255 OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
Mrs. ANDREA L LADOUCEUR DPT
704 N GAIL PL
BOISE, ID 83706-2056
Phone number: 218-779-5570
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