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1942912407
DARREN KELLOGG
TWIN FALLS, ID
NPI
1942912407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-2176)
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
DARREN KELLOGG OTR/L
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-2495
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Mailing Address
DARREN KELLOGG OTR/L
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-2495
Copy
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