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1962913061
LORI MARIE MAGES
MOSCOW, ID
NPI
1962913061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: ID PT-2021)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
LORI MARIE MAGES PT, PCS
700 S MAIN ST
MOSCOW, ID 83843-3056
Phone number: 208-883-1522
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Mailing Address
LORI MARIE MAGES PT, PCS
700 S MAIN ST
MOSCOW, ID 83843-3056
Phone number: 208-883-1522
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