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1710393004
AMANDA JEAN CRAIG
BOISE, ID
NPI
1710393004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1345)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- AMANDA JEAN CRAIG OTR/L
4706 W CORPORAL ST
BOISE, ID 83706-1925
Phone number: 208-949-0755
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Mailing Address
-- AMANDA JEAN CRAIG OTR/L
4706 W CORPORAL ST
BOISE, ID 83706-1925
Phone number: 208-949-0755
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