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1578394953
KASEY VITTO
BOISE, ID
NPI
1578394953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-9128)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
KASEY VITTO
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
KASEY VITTO
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
Copy
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