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1649728213
BRENDA AUSBERGER
BOISE, ID
NPI
1649728213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: ID 1616)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
Miss BRENDA AUSBERGER OTR
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
Miss BRENDA AUSBERGER OTR
645 E HOLLY ST APT 103
BOISE, ID 83712-7843
Phone number: 616-706-1256
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