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1871769307
NICOLE BARNES
BOISE, ID
NPI
1871769307
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Former Name
NICOLE LYNNE PETERSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1831)
Enumeration Date
2008-05-05
Last Update Date
2014-10-09
Business Address
-- NICOLE BARNES P.T.
1520 W STATE ST STE 210
BOISE, ID 83702-4085
Phone number: 208-336-8433
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Mailing Address
-- NICOLE BARNES P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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