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1952802860
IRIS MARIE CONRAD
SALMON, ID
NPI
1952802860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1516)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
IRIS MARIE CONRAD
35 DOGWOOD LN
SALMON, ID 83467-5083
Phone number: 208-768-7265
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Mailing Address
IRIS MARIE CONRAD
35 DOGWOOD LN
SALMON, ID 83467-5083
Phone number: 208-768-7265
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