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1073052635
DEREK MATTHEW WOOD
NAMPA, ID
NPI
1073052635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4930)
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- DEREK MATTHEW WOOD DPT
172 2ND ST S
NAMPA, ID 83651-3708
Phone number: 208-385-3620
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Mailing Address
-- DEREK MATTHEW WOOD DPT
172 2ND ST S
NAMPA, ID 83651-3708
Phone number:
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