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1477235919
SHELBY SUZANNE MADER
BOISE, ID
NPI
1477235919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8794)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
SHELBY SUZANNE MADER DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
SHELBY SUZANNE MADER DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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