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1184886228
MICHAEL S RICHARDS
NAMPA, ID
NPI
1184886228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-568)
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
Mr. MICHAEL S RICHARDS
404 N HORTON ST
NAMPA, ID 83651-6541
Phone number: 208-465-4594
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Mailing Address
Mr. MICHAEL S RICHARDS
404 N HORTON ST
NAMPA, ID 83651-6541
Phone number: 208-465-4594
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