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Individual

LAUREN KELLER SILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
11987 W GUNSMOKE DR, BOISE, ID 83713-4756
(707) 888-8378

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5847
ID

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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