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1316400567
CLEO CELINE BOHNEY
REXBURG, ID
NPI
1316400567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID 5318)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
CLEO CELINE BOHNEY PTA
660 S 2ND W
REXBURG, ID 83440-2300
Phone number: 208-356-0220
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Mailing Address
CLEO CELINE BOHNEY PTA
3839 E 137 N
RIGBY, ID 83442-5735
Phone number: 208-241-9117
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