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1609505155
MARISSA PANKO
MERIDIAN, ID
NPI
1609505155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 8076)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
MARISSA PANKO DPT
1649 E PINE AVE
MERIDIAN, ID 83642-8135
Phone number: 208-917-2660
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Mailing Address
MARISSA PANKO DPT
2127 S LINDA VISTA PL
BOISE, ID 83709-8246
Phone number:
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