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1285490573
LUCILLE MAE ANDERSON
BOISE, ID
NPI
1285490573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID 2925)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
LUCILLE MAE ANDERSON OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
LUCILLE MAE ANDERSON OTR/L
2401 S APPLE ST APT B202
BOISE, ID 83706-5182
Phone number: 815-201-4923
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