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1336770056
ELIZABETH DAVID BOWMAN
REXBURG, ID
NPI
1336770056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-2127)
Enumeration Date
2020-01-31
Last Update Date
2020-01-31
Business Address
ELIZABETH DAVID BOWMAN MSOT
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-359-9570
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Mailing Address
ELIZABETH DAVID BOWMAN MSOT
PO BOX 711
REXBURG, ID 83440-0711
Phone number: 208-359-9570
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