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1063951168
KEYSTONE THERAPY
EAGLE, ID
NPI
1063951168
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Entity Type
Organization
Authorized Contact
LEONARD JENSEN
President
208-514-0670
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
KEYSTONE THERAPY
1159 E IRON EAGLE DR SUITE 170D
EAGLE, ID 83616-6871
Phone number: 208-514-0670
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Mailing Address
KEYSTONE THERAPY
1159 E IRON EAGLE DR SUITE 170D
EAGLE, ID 83616-6871
Phone number: 208-514-0670
Copy
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