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1811407174
KACEY RINDLISBACHER
GOODING, ID
NPI
1811407174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-5124)
Enumeration Date
2017-10-01
Last Update Date
2017-10-01
Business Address
KACEY RINDLISBACHER
1220 MONTANA ST
GOODING, ID 83330-1856
Phone number: 208-934-5601
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Mailing Address
KACEY RINDLISBACHER
7778 S CARSON ST
BOISE, ID 83709-6910
Phone number: 208-890-8663
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