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1740678234
TUNDRA MCDOUGAL
MERIDIAN, ID
NPI
1740678234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: ID 1283)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- TUNDRA MCDOUGAL
179 SW 5TH AVENUE
MERIDIAN, ID 83642
Phone number: 208-367-8282
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Mailing Address
-- TUNDRA MCDOUGAL
179 SW 5TH AVENUE
MERIDIAN, ID 83642
Phone number: 208-367-8282
Copy
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