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1437773769
HALEY SHOVLIN VISSER
BOISE, ID
NPI
1437773769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6814)
Enumeration Date
2020-06-02
Last Update Date
2023-10-18
Business Address
HALEY SHOVLIN VISSER DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
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Mailing Address
HALEY SHOVLIN VISSER DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
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