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1154944262
BRYAN CLARKE HUNTSMAN
IDAHO FALLS, ID
NPI
1154944262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
BRYAN CLARKE HUNTSMAN DPT
2570 CHANNING WAY
IDAHO FALLS, ID 83404-7515
Phone number: 208-529-8005
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Mailing Address
BRYAN CLARKE HUNTSMAN DPT
2570 CHANNING WAY
IDAHO FALLS, ID 83404-7515
Phone number: 208-529-8005
Copy
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