NICOLLE LENNA GLEASON

NAMPA, ID
NPI1871851634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2098)
Enumeration Date2012-04-30
Last Update Date2012-04-30
Business Address
Mrs. NICOLLE LENNA GLEASON DPT
5640 E FRANKLIN RD # B
NAMPA, ID 83687-8402
Phone number: 208-484-4640
Mailing Address
Mrs. NICOLLE LENNA GLEASON DPT
3403 W LASSEN ST
BOISE, ID 83703-4734
Phone number: 208-869-8036
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