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1124486022
JEFF NEIL NEWBERRY
POCATELLO, ID
NPI
1124486022
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Other Name
JEFFREY NEIL NEWBERRY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID RPT-1826)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
JEFF NEIL NEWBERRY ID
1957 ALVIN RICKEN DR C/O JEFF NEWBERRY
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
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Mailing Address
JEFF NEIL NEWBERRY ID
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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