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1528265014
KATHLEEN ELLIS
COEUR D ALENE, ID
NPI
1528265014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT 404)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
KATHLEEN ELLIS
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
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Mailing Address
KATHLEEN ELLIS
3856 S BRENTWOOD LN
COEUR D ALENE, ID 83814-7337
Phone number:
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