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1427288356
CARLIE M LAUSEN
BOISE, ID
NPI
1427288356
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Former Name
CARLIE M LAUSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2545)
Enumeration Date
2009-07-27
Last Update Date
2012-12-10
Business Address
-- CARLIE M LAUSEN DPT
13895 W WAINWRIGHT DR
BOISE, ID 83713-5011
Phone number: 208-939-0533
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Mailing Address
-- CARLIE M LAUSEN DPT
12072 MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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