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1417797309
ANGELINA LAVRIKOVA
BOISE, ID
NPI
1417797309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-9095)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
ANGELINA LAVRIKOVA
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
ANGELINA LAVRIKOVA
2002 S HILTON ST
BOISE, ID 83705-3631
Phone number: 870-204-4526
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