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1174051429
IAN CAMPBELL
BOISE, ID
NPI
1174051429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-5047)
Enumeration Date
2017-05-31
Last Update Date
2020-09-10
Business Address
IAN CAMPBELL DPT
2195 W HILL RD
BOISE, ID 83702-0622
Phone number: 208-850-6995
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Mailing Address
IAN CAMPBELL DPT
2195 W HILL RD
BOISE, ID 83702-0622
Phone number: 208-850-6995
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