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1679293534
MIKAYLA ANDERSEN
IDAHO FALLS, ID
NPI
1679293534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: 5646)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
MIKAYLA ANDERSEN
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
MIKAYLA ANDERSEN
842 E 1425 N
SHELLEY, ID 83274-5173
Phone number:
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