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1497363097
HANNAH LOGUE
BOISE, ID
NPI
1497363097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-2223)
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
HANNAH LOGUE
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
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Mailing Address
HANNAH LOGUE
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
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