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1205980968
MICHAEL JOHN OWENS
NAMPA, ID
NPI
1205980968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT682)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHN OWENS PT
1127 CALDWELL BLVD
NAMPA, ID 83651
Phone number: 208-465-4935
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Mailing Address
-- MICHAEL JOHN OWENS PT
1025 S ASH AVE
KUNA, ID 83634
Phone number: 208-362-0756
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