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1477606119
KELLY PATRICIA ISAKSON
MOSCOW, ID
NPI
1477606119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1348)
Enumeration Date
2007-01-18
Last Update Date
2017-07-26
Business Address
KELLY PATRICIA ISAKSON PT
810 SOUTH MAIN
MOSCOW, ID 83843
Phone number: 208-883-1522
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Mailing Address
KELLY PATRICIA ISAKSON PT
904 WHITE AVE
MOSCOW, ID 83843-3932
Phone number: 208-596-1056
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