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1700350816
AMBER RICHELE CRAWFORD
BOISE, ID
NPI
1700350816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1968)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
MRS. AMBER RICHELE CRAWFORD COTA/L
4696 W OVERLAND RD STE 232
BOISE, ID 83705-2864
Phone number: 208-908-6116
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Mailing Address
MRS. AMBER RICHELE CRAWFORD COTA/L
1336 S EDGEWATER CIR APT 202
NAMPA, ID 83686-6283
Phone number: 740-424-3140
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