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1033583117
TYSON DANIEL COOK
BOISE, ID
NPI
1033583117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4239)
Enumeration Date
2015-11-30
Last Update Date
2022-02-21
Business Address
TYSON DANIEL COOK DPT
901 N CURTIS RD SUITE 204
BOISE, ID 83706-1338
Phone number: 208-367-3315
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Mailing Address
TYSON DANIEL COOK DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-314-5904
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