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1629211172
PAMELA PRENTICE STORMS
BOISE, ID
NPI
1629211172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT 822)
Enumeration Date
2009-04-14
Last Update Date
2009-04-14
Business Address
-- PAMELA PRENTICE STORMS MPT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1368
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Mailing Address
-- PAMELA PRENTICE STORMS MPT
3420 N PLANTATION RIVER DR
BOISE, ID 83703-3002
Phone number: 208-383-4172
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