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1790322436
KELLY AMBROSCH
COEUR D ALENE, ID
NPI
1790322436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-12-02
Last Update Date
2022-04-12
Business Address
KELLY AMBROSCH
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814-2635
Phone number: 208-966-4476
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Mailing Address
KELLY AMBROSCH
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 83814-4903
Phone number: 208-664-2175
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