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1326595760
KELLIE WHITON
MERIDIAN, ID
NPI
1326595760
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Former Name
KELLIE CELESTE MCMAHON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 4362)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- KELLIE WHITON PT, DPT
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5537
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Mailing Address
-- KELLIE WHITON PT, DPT
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5537
Copy
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