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1033329206
DAVID CIRCUIT CHRISTIANSEN
GOODING, ID
NPI
1033329206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1770)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- DAVID CIRCUIT CHRISTIANSEN MSPT
1120 MONTANA ST
GOODING, ID 83330-1858
Phone number: 208-934-8766
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Mailing Address
-- DAVID CIRCUIT CHRISTIANSEN MSPT
3304 OREGON TRAIL LN
KIMBERLY, ID 83341-5349
Phone number:
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