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1356534218
CANDACE MARIE RICHARDS
BOISE, ID
NPI
1356534218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT2274)
Enumeration Date
2007-08-23
Last Update Date
2013-03-21
Business Address
Miss CANDACE MARIE RICHARDS DPT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
Miss CANDACE MARIE RICHARDS DPT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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