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1982301982
ABIGAIL DAWN CRANDALL
REXBURG, ID
NPI
1982301982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA8612)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
ABIGAIL DAWN CRANDALL
36 WINN DR STE 100
REXBURG, ID 83440-5277
Phone number: 208-356-0174
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Mailing Address
ABIGAIL DAWN CRANDALL
1209 N 990 E
SHELLEY, ID 83274-5177
Phone number:
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