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1114378957
DERRICK JAY WEBB
POST FALLS, ID
NPI
1114378957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4754)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
-- DERRICK JAY WEBB DPT
1590 E POLSTON AVE
POST FALLS, ID 83854-5218
Phone number: 208-777-4242
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Mailing Address
-- DERRICK JAY WEBB DPT
15720 E 4TH AVE
SPOKANE VALLEY, WA 99037-9477
Phone number: 509-760-7958
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