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1427631142
SHANNON RENAE FLATTER
BOISE, ID
NPI
1427631142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
SHANNON RENAE FLATTER
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
SHANNON RENAE FLATTER
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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