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1912496506
TAMRA DIMOND
TWIN FALLS, ID
NPI
1912496506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1643)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
Mrs. TAMRA DIMOND COTA/L, CLT
840 ADDISON AVE
TWIN FALLS, ID 83301-5203
Phone number: 208-595-4941
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Mailing Address
Mrs. TAMRA DIMOND COTA/L, CLT
2620 JOSHUA WAY
TWIN FALLS, ID 83301-8953
Phone number: 208-539-1282
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