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1396445698
MICHELLE KIDDER JOHNS
MERIDIAN, ID
NPI
1396445698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8536)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
MICHELLE KIDDER JOHNS PT
90 E USTICK RD
MERIDIAN, ID 83646-6134
Phone number: 208-895-0715
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Mailing Address
MICHELLE KIDDER JOHNS PT
162 E SAN PEDRO ST
MERIDIAN, ID 83646-6612
Phone number: 208-995-4451
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