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1023566734
ROGER ORME
BOISE, ID
NPI
1023566734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 1603)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
Mr. ROGER ORME
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
Mr. ROGER ORME
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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