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1124477716
COLLIN REID
BOISE, ID
NPI
1124477716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 4543)
Enumeration Date
2016-06-06
Last Update Date
2016-08-10
Business Address
-- COLLIN REID
1520 W STATE ST SUITE 210
BOISE, ID 83702-4085
Phone number: 208-336-8433
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Mailing Address
-- COLLIN REID
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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