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1639518681
TIFFANY NUDCHA BURGESS
REXBURG, ID
NPI
1639518681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3313)
Enumeration Date
2013-06-21
Last Update Date
2013-06-21
Business Address
-- TIFFANY NUDCHA BURGESS
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-9570
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Mailing Address
-- TIFFANY NUDCHA BURGESS
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-9570
Copy
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