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1730756917
CAROLINE BRINSON BUSH
BOISE, ID
NPI
1730756917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-7147)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
MISS CAROLINE BRINSON BUSH PTA
960 S BROADWAY AVE
BOISE, ID 83706-3600
Phone number: 208-433-9211
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Mailing Address
MISS CAROLINE BRINSON BUSH PTA
6243 S WAYLAND WAY
MERIDIAN, ID 83642-5711
Phone number: 901-786-2761
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