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1700197118
HEATHER LESLIE SULLIVAN
BOISE, ID
NPI
1700197118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-134)
Enumeration Date
2010-06-30
Last Update Date
2010-06-30
Business Address
-- HEATHER LESLIE SULLIVAN OT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
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Mailing Address
-- HEATHER LESLIE SULLIVAN OT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
Copy
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