JULIUS PUA ONG

BOISE, ID
NPI1144590431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  009090)
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
Mr. JULIUS PUA ONG RPT
212 N SEA FURY LN APT 202
BOISE, ID 83704-9421
Phone number: 208-559-8462
Mailing Address
Mr. JULIUS PUA ONG RPT
212 N. SEAFURY LANE APT 202
BOISE, ID 83704-9423
Phone number: 208-559-8462
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