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1841756947
BRIANA NORA TYNE ACKER
KETCHUM, ID
NPI
1841756947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-2032)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
MS. BRIANA NORA TYNE ACKER
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Phone number: 208-727-8100
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Mailing Address
MS. BRIANA NORA TYNE ACKER
PO BOX 100
KETCHUM, ID 83340-0100
Phone number: 208-727-8800
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