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1548866999
COLEMAN JOSHUA LAY
KETCHUM, ID
NPI
1548866999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID 2317)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
COLEMAN JOSHUA LAY OTR/L
100 HOSPITAL DR #104
KETCHUM, ID 83340
Phone number: 208-727-8253
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Mailing Address
COLEMAN JOSHUA LAY OTR/L
100 HOSPITAL DR #104
KETCHUM, ID 83340
Phone number: 208-727-8253
Copy
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