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1528620853
DANA VAN WYCK
BOISE, ID
NPI
1528620853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2019-07-08
Last Update Date
2021-04-16
Business Address
DANA VAN WYCK
4776 N FIVE MILE RD
BOISE, ID 83713-2715
Phone number: 208-658-9500
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Mailing Address
DANA VAN WYCK
9419 COPPERTOP LOOP NE
BAINBRIDGE ISLAND, WA 98110-3647
Phone number: 206-842-2428
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