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1497202832
REBECCA MACE
MERIDIAN, ID
NPI
1497202832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-355)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
REBECCA MACE
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5599
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Mailing Address
REBECCA MACE
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5599
Copy
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