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1811020902
JOAN EASTON
BOISE, ID
NPI
1811020902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-059)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- JOAN EASTON OTR L
890 N COLE RD STE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
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Mailing Address
-- JOAN EASTON OTR L
769 PALMETTO DR
EAGLE, ID 83616-5145
Phone number: 208-939-6647
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