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1790374445
TAYLOR L. MITZEL
BOISE, ID
NPI
1790374445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-2051)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
TAYLOR L. MITZEL
2127 W OVERLAND RD
BOISE, ID 83705-3149
Phone number: 208-321-4898
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Mailing Address
TAYLOR L. MITZEL
3275 W HALEY DR
EAGLE, ID 83616-3370
Phone number: 831-801-4047
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