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1528046208
NANCY THERESA MCDONNELL-PENROSE
KETCHUM, ID
NPI
1528046208
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Former Name
NANCY THERESA MCDONNELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT222)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
Ms. NANCY THERESA MCDONNELL-PENROSE PT
180 W 1ST ST #101
KETCHUM, ID 83340
Phone number: 208-725-5185
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Mailing Address
Ms. NANCY THERESA MCDONNELL-PENROSE PT
PO BOX 2182 180 W 1ST ST #101
KETCHUM, ID 83340-2182
Phone number: 208-725-5185
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