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1437494382
TARA JOHNSON
NAMPA, ID
NPI
1437494382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: ID PT-2995)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- TARA JOHNSON D.P.T
131 CONSTITUTION WAY
NAMPA, ID 83686-6018
Phone number: 208-463-5570
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Mailing Address
-- TARA JOHNSON D.P.T
512 E KRALL ST
BOISE, ID 83712-6337
Phone number:
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