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1396941134
TRACEY L ALCORN
COEUR D ALENE, ID
NPI
1396941134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-190)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- TRACEY L ALCORN PTA
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
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Mailing Address
-- TRACEY L ALCORN PTA
PO BOX 1906
POST FALLS, ID 83877-1906
Phone number:
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