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1609460492
ASHLEY WEIDNER
BOISE, ID
NPI
1609460492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-7159)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
ASHLEY WEIDNER
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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Mailing Address
ASHLEY WEIDNER
2035 CORTE DEL NOGAL STE 200
CARLSBAD, CA 92011-1445
Phone number:
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