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1205403391
JONATHAN NORMAN
BOISE, ID
NPI
1205403391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7402)
Enumeration Date
2021-06-07
Last Update Date
2021-09-16
Business Address
JONATHAN NORMAN DPT
5850 N FIVE MILE RD
BOISE, ID 83713-5466
Phone number: 208-960-7274
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Mailing Address
JONATHAN NORMAN DPT
5850 N FIVE MILE RD
BOISE, ID 83713-5466
Phone number: 082-960-7274
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