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1861168536
VITALIY TSEMA
BOISE, ID
NPI
1861168536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-5874)
Enumeration Date
2021-08-21
Last Update Date
2021-08-21
Business Address
VITALIY TSEMA
1140 N ALLUMBAUGH ST
BOISE, ID 83704-8716
Phone number: 208-854-8500
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Mailing Address
VITALIY TSEMA
1702 S DENVER AVE
BOISE, ID 83706-3514
Phone number: 208-371-2207
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