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1972845261
JESSICA M DIVIESTI
IDAHO FALLS, ID
NPI
1972845261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-820)
Enumeration Date
2013-03-25
Last Update Date
2013-03-25
Business Address
JESSICA M DIVIESTI OTR/L
935 SAFSTROM DR
IDAHO FALLS, ID 83401-4107
Phone number: 208-520-2120
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Mailing Address
JESSICA M DIVIESTI OTR/L
935 SAFSTROM DR
IDAHO FALLS, ID 83401-4107
Phone number: 208-520-2120
Copy
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