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1316362940
CAROLE A BETTWIESER
BOISE, ID
NPI
1316362940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1173)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
CAROLE A BETTWIESER OTR/L
3862 S YORKTOWN WAY
BOISE, ID 83706-6032
Phone number: 858-357-7298
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Mailing Address
CAROLE A BETTWIESER OTR/L
3862 S YORKTOWN WAY
BOISE, ID 83706-6032
Phone number: 858-357-7298
Copy
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