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1902927056
BRAD ARCHIBALD
IONA, ID
NPI
1902927056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-637)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
BRAD ARCHIBALD OTR
4893 CAMAS CREEK CIR.
IONA, ID 83427
Phone number: 208-351-0651
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Mailing Address
BRAD ARCHIBALD OTR
PO BOX 354
IONA, ID 83427-0354
Phone number: 208-351-0651
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