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1538663059
TAMMY SUE CONRAD
REXBURG, ID
NPI
1538663059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1339)
Enumeration Date
2018-03-20
Last Update Date
2018-04-25
Business Address
TAMMY SUE CONRAD MOTR/L
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-359-9570
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Mailing Address
TAMMY SUE CONRAD MOTR/L
PO BOX 711
REXBURG, ID 83440-0711
Phone number: 208-359-9570
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