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1740700137
TEALYNN COOPER
IDAHO FALLS, ID
NPI
1740700137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1465)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
TEALYNN COOPER
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
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Mailing Address
TEALYNN COOPER
1820 HEATHER CIR
AMMON, ID 83406-6791
Phone number:
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