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1801210497
ELIZABETH KORNKVEN
BOISE, ID
NPI
1801210497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3003)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
-- ELIZABETH KORNKVEN DPT
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4795
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Mailing Address
-- ELIZABETH KORNKVEN DPT
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number:
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