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1356496004
LISA BOUGHNER
RENO, NV
NPI
1356496004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 1751)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- LISA BOUGHNER
3700 GRANT DR STE A
RENO, NV 89509-7349
Phone number: 775-829-4700
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Mailing Address
-- LISA BOUGHNER
1872 MILLPOND CT
RENO, NV 89523-2057
Phone number: 775-787-1339
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