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1760092886
GRACE FRANCES DONOVAN
KETCHUM, ID
NPI
1760092886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6719)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
GRACE FRANCES DONOVAN
245 RAVEN ROAD
KETCHUM, ID 83340
Phone number: 208-726-7246
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Mailing Address
GRACE FRANCES DONOVAN
PO BOX 1363
KETCHUM, ID 83340-1300
Phone number: 208-726-8246
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