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1053162230
DAYNE SHAW
IDAHO FALLS, ID
NPI
1053162230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: ID PT-8769)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
DAYNE SHAW PT, DPT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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Mailing Address
DAYNE SHAW PT, DPT
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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