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1134643885
IAN DAVID TRACY
BOISE, ID
NPI
1134643885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 5237)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
Dr. IAN DAVID TRACY DPT
1175 E PARKCENTER BLVD STE 104
BOISE, ID 83706-6752
Phone number: 208-344-2525
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Mailing Address
Dr. IAN DAVID TRACY DPT
1175 E PARKCENTER BLVD STE 104
BOISE, ID 83706-6752
Phone number:
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