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1003173360
NATHAN IRA ALLEN
NAMPA, ID
NPI
1003173360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT 2980)
Enumeration Date
2012-04-11
Last Update Date
2013-01-23
Business Address
-- NATHAN IRA ALLEN P.T.
2635 CALDWELL BLVD STE. B
NAMPA, ID 83651-6407
Phone number: 208-442-0577
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Mailing Address
-- NATHAN IRA ALLEN P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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