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1134481138
BARRETT J GIBSON
IDAHO FALLS, ID
NPI
1134481138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3069)
Enumeration Date
2012-06-14
Last Update Date
2012-06-14
Business Address
-- BARRETT J GIBSON DPT
2922 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-529-3332
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Mailing Address
-- BARRETT J GIBSON DPT
2922 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-529-3332
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