SUSAN BASTIAN

BOISE, ID
NPI1649422858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
-- SUSAN BASTIAN
6508 POMONA RD
BOISE, ID 83704-6146
Phone number: 208-376-2260
Mailing Address
-- SUSAN BASTIAN
6508 POMONA RD
BOISE, ID 83704-6146
Phone number:
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