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1275603086
LISA M. SWAN
BOISE, ID
NPI
1275603086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT949)
Enumeration Date
2006-11-09
Last Update Date
2012-03-23
Business Address
-- LISA M. SWAN PT949
1673 W SHORELINE DR SUITE 230
BOISE, ID 83702-6750
Phone number: 208-343-4700
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Mailing Address
-- LISA M. SWAN PT949
1673 W SHORELINE DR SUITE 230
BOISE, ID 83702-6750
Phone number: 208-343-4700
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