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1710607320
COURTNEY HERNANDEZ
IDAHO FALLS, ID
NPI
1710607320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-2618)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
COURTNEY HERNANDEZ
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
COURTNEY HERNANDEZ
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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