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1861028151
MARISSA MONTAMAT
BOISE, ID
NPI
1861028151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1732)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
MARISSA MONTAMAT COTA
3550 W AMERICANA TER
BOISE, ID 83706-4728
Phone number: 208-615-4940
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Mailing Address
MARISSA MONTAMAT COTA
3550 W AMERICANA TER
BOISE, ID 83706-4728
Phone number: 208-615-4940
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