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1295135028
LISA HONG
IDAHO FALLS, ID
NPI
1295135028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-849)
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- LISA HONG MOTR/L
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-521-3253
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Mailing Address
-- LISA HONG MOTR/L
694 MELROSE DR
IDAHO FALLS, ID 83401-3250
Phone number: 208-521-3253
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