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1184033110
SHAWN CALHOUN
MERIDIAN, ID
NPI
1184033110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3700)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
SHAWN CALHOUN
1351 W PINE AVE
MERIDIAN, ID 83642-5031
Phone number: 208-888-7049
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Mailing Address
SHAWN CALHOUN
10937 W HEARTWOOD ST
BOISE, ID 83709-5682
Phone number: 208-724-5162
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