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1003831249
MATTHEW LYLE WALKER
MERIDIAN, ID
NPI
1003831249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1718)
Enumeration Date
2006-07-12
Last Update Date
2007-07-09
Business Address
Mr. MATTHEW LYLE WALKER MPT
2321 E GALA ST SUITE 1
MERIDIAN, ID 83642-4881
Phone number: 208-888-4321
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Mailing Address
Mr. MATTHEW LYLE WALKER MPT
2321 E GALA ST SUITE 1
MERIDIAN, ID 83642-4881
Phone number: 208-888-4321
Copy
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