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1285840058
TERRI DALE WHITMORE
BOISE, ID
NPI
1285840058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-360)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- TERRI DALE WHITMORE P.T.A.
1130 ALLUMBAUGH ST
BOISE, ID 83704-8700
Phone number: 208-854-8502
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Mailing Address
-- TERRI DALE WHITMORE P.T.A.
2964 W MIRMONTE ST
MERIDIAN, ID 83642-2680
Phone number: 208-895-0187
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