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1679924435
CHONG LUCEY
BOISE, ID
NPI
1679924435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1140)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
CHONG LUCEY
11892 W CLOVER MEADOWS DR
BOISE, ID 83713-6608
Phone number: 208-863-4381
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Mailing Address
CHONG LUCEY
11892 W CLOVER MEADOWS DR
BOISE, ID 83713-6608
Phone number: 208-863-4381
Copy
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