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1437575073
LEEANNE JORDAN
BOISE, ID
NPI
1437575073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-714)
Enumeration Date
2014-03-06
Last Update Date
2014-03-06
Business Address
-- LEEANNE JORDAN OTR/L
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444
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Mailing Address
-- LEEANNE JORDAN OTR/L
11880 W EDNA ST
BOISE, ID 83713-3643
Phone number: 208-377-1060
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