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1972538858
JANICE LOUISE WAITE
BOISE, ID
NPI
1972538858
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Former Name
JANICE WILBANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 091PT)
Enumeration Date
2006-07-11
Last Update Date
2009-10-27
Business Address
-- JANICE LOUISE WAITE P.T.
5521 W STATE ST
BOISE, ID 83703-3337
Phone number: 208-853-6220
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Mailing Address
-- JANICE LOUISE WAITE P.T.
5521 W STATE ST
BOISE, ID 83703-3337
Phone number: 208-853-6220
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