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1497365845
SPENCER VANDENBURG
IDAHO FALLS, ID
NPI
1497365845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
SPENCER VANDENBURG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
SPENCER VANDENBURG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Copy
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