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1831634823
SKYE FAHNLANDER
BURLEY, ID
NPI
1831634823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1639)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- SKYE FAHNLANDER COTA/L
2303 PARKE AVE
BURLEY, ID 83318
Phone number: 208-677-3073
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Mailing Address
-- SKYE FAHNLANDER COTA/L
721 20TH ST. BLDG 13 APT 4
HEYBURN, ID 83336
Phone number:
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