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1821785908
LAUREL ASHLEY LENZ
IDAHO FALLS, ID
NPI
1821785908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
LAUREL ASHLEY LENZ MOT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
LAUREL ASHLEY LENZ MOT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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