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1730110982
KIMBERLY J MAZZELLA
MERIDIAN, ID
NPI
1730110982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7231)
Enumeration Date
2006-07-06
Last Update Date
2022-10-26
Business Address
Ms. KIMBERLY J MAZZELLA P.T
875 S VANGUARD WAY STE 110
MERIDIAN, ID 83642-8541
Phone number: 208-960-0932
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Mailing Address
Ms. KIMBERLY J MAZZELLA P.T
875 S VANGUARD WAY STE 110
MERIDIAN, ID 83642-8541
Phone number: 208-960-0930
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