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1275745291
MICHELLE LOUISE BOISVERT
MERIDIAN, ID
NPI
1275745291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-921)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE LOUISE BOISVERT PT
6141 W OVERLAND RD
MERIDIAN, ID 83642-6402
Phone number: 208-884-1322
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Mailing Address
Mrs. MICHELLE LOUISE BOISVERT PT
6141 W OVERLAND RD
MERIDIAN, ID 83642-6402
Phone number: 208-884-1322
Copy
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