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1396148029
ANGELA HALE
MOUNTAIN HOME, ID
NPI
1396148029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3677)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
ANGELA HALE
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-587-8405
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Mailing Address
ANGELA HALE
6305 BIRCH LN APT 201
NAMPA, ID 83687-4142
Phone number: 208-473-9788
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