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1023700499
BEAU URBANIAK
BOISE, ID
NPI
1023700499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT8650)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
BEAU URBANIAK
7421 W VICTORY RD STE 103
BOISE, ID 83709-6764
Phone number: 208-514-3736
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Mailing Address
BEAU URBANIAK
7201 W CLEARWATER AVE STE B101
KENNEWICK, WA 99336-1694
Phone number: 509-544-0265
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