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1568135341
GILLIAN SHAW SCANLON
NAMPA, ID
NPI
1568135341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7260)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
GILLIAN SHAW SCANLON
9850 W ST LUKES DR STE 216
NAMPA, ID 83687-7912
Phone number: 208-385-3600
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Mailing Address
GILLIAN SHAW SCANLON
533 E PARKCENTER BLVD APT 321
BOISE, ID 83706-6763
Phone number: 314-537-3255
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