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1043940679
NATHANIEL JAY DELEGARD
POST FALLS, ID
NPI
1043940679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8253)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
NATHANIEL JAY DELEGARD PT, DPT
1610 E SCHNEIDMILLER AVE
POST FALLS, ID 83854-7065
Phone number: 208-773-8111
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Mailing Address
NATHANIEL JAY DELEGARD PT, DPT
1610 E SCHNEIDMILLER AVE
POST FALLS, ID 83854-7065
Phone number: 208-773-8111
Copy
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