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1780926428
KATELYN HELEN ELL
BOISE, ID
NPI
1780926428
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Former Name
KATELYN HELEN DEGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2013-03-20
Last Update Date
2019-12-11
Business Address
KATELYN HELEN ELL CPO
1530 S LOGGERS CREEK LN
BOISE, ID 83706-3936
Phone number: 971-732-6231
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Mailing Address
KATELYN HELEN ELL CPO
1530 S LOGGERS CREEK LN
BOISE, ID 83706-3936
Phone number: 971-732-6231
Copy
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