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1740661966
KAITLYN MASSEY SHUEY
BOISE, ID
NPI
1740661966
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Former Name
KAITLYN HALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1063)
Enumeration Date
2015-06-12
Last Update Date
2015-06-12
Business Address
KAITLYN MASSEY SHUEY COTA/L
3171 S BOWN WAY
BOISE, ID 83706-5665
Phone number: 208-433-9152
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Mailing Address
KAITLYN MASSEY SHUEY COTA/L
3171 S BOWN WAY
BOISE, ID 83706-5665
Phone number: 208-433-9152
Copy
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