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1639530157
MELISSA HARRIS
BOISE, ID
NPI
1639530157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-936)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
-- MELISSA HARRIS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2138
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Mailing Address
-- MELISSA HARRIS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2138
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