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1710584818
PATRICIA MARIE FAGEN
FRUITLAND, ID
NPI
1710584818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 1068)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
PATRICIA MARIE FAGEN PT
2175 N WHITLEY DR
FRUITLAND, ID 83619-2132
Phone number: 208-452-0303
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Mailing Address
PATRICIA MARIE FAGEN PT
7625 N NEVADA AVE
FRUITLAND, ID 83619-3559
Phone number: 208-739-0463
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