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1902279136
SHANNA MARIE HERMAN
BOISE, ID
NPI
1902279136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4287)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- SHANNA MARIE HERMAN Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-385-3420
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Mailing Address
-- SHANNA MARIE HERMAN Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-385-3420
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