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1831549401
TRISHA EVANS
REXBURG, ID
NPI
1831549401
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Former Name
TRISHA A MILES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OTL-1612)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- TRISHA EVANS MOT
36 PROFESSIONAL PLAZA SUITE 110
REXBURG, ID 83440
Phone number: 208-359-9570
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Mailing Address
-- TRISHA EVANS MOT
1216 HOLMAN AVE
POCATELLO, ID 83201-2907
Phone number: 208-319-4187
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