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1316167687
DIANE K BAIRD
IDAHO FALLS, ID
NPI
1316167687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: ID OT-183)
Enumeration Date
2007-04-27
Last Update Date
2009-11-16
Business Address
Miss DIANE K BAIRD OTR
3696 S HOLMES AVE
IDAHO FALLS, ID 83404-7911
Phone number: 208-552-2374
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Mailing Address
Miss DIANE K BAIRD OTR
3696 S HOLMES AVE
IDAHO FALLS, ID 83404-7911
Phone number: 208-552-2374
Copy
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