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1801846498
JANA NICOLE REPULSKI
EAGLE, ID
NPI
1801846498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1158)
Enumeration Date
2006-05-12
Last Update Date
2011-02-08
Business Address
Ms. JANA NICOLE REPULSKI PT, OCS
533 S RIVERSHORE LN SUITE 120
EAGLE, ID 83616-4979
Phone number: 208-938-8020
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Mailing Address
Ms. JANA NICOLE REPULSKI PT, OCS
PO BOX 1328
EAGLE, ID 83616-1328
Phone number: 208-938-8020
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