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1437210853
JUDITH LEE GRUCELLA
BOISE, ID
NPI
1437210853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: ID PT1173)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Ms. JUDITH LEE GRUCELLA PT
4477 EMERALD ST STE C125
BOISE, ID 83706-2058
Phone number: 208-343-7700
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Mailing Address
Ms. JUDITH LEE GRUCELLA PT
4477 EMERALD ST STE C125
BOISE, ID 83706-2058
Phone number: 208-343-7700
Copy
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