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1376213850
BROOKE SUE RUPE
IDAHO FALLS, ID
NPI
1376213850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-2264)
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
BROOKE SUE RUPE COTA/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
BROOKE SUE RUPE COTA/L
2615 REBEL RD
AMMON, ID 83406
Phone number: 208-419-8894
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