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1518162957
KATHRYN ELIZABETH MACOMB
BOISE, ID
NPI
1518162957
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Former Name
KATHRYN ELIZABETH LORELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1608)
Enumeration Date
2007-06-17
Last Update Date
2016-11-09
Business Address
Ms. KATHRYN ELIZABETH MACOMB M.P.T.
8660 W EMERALD ST STE 112
BOISE, ID 83704-4829
Phone number: 208-321-7831
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Mailing Address
Ms. KATHRYN ELIZABETH MACOMB M.P.T.
856 W CAGNEY ST
MERIDIAN, ID 83646-5297
Phone number: 208-724-3870
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