MARK W WISENOR

CALDWELL, ID
NPI1093976326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  1455)
Enumeration Date2008-06-19
Last Update Date2008-06-19
Business Address
Mr. MARK W WISENOR P.T.
3720 S INDIANA AVE
CALDWELL, ID 83605-6457
Phone number: 208-459-6041
Mailing Address
Mr. MARK W WISENOR P.T.
3720 S INDIANA AVE
CALDWELL, ID 83605-6457
Phone number: 208-459-6041
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