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1578320313
ALYSSA WAKEMAN
TWIN FALLS, ID
NPI
1578320313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
ALYSSA WAKEMAN
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1000
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Mailing Address
ALYSSA WAKEMAN
14101 BURNLEY WAY
ROSEMOUNT, MN 55068-2255
Phone number:
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