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1215750237
SPENCER BENJAMIN
BOISE, ID
NPI
1215750237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 8571437)
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
SPENCER BENJAMIN DPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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Mailing Address
SPENCER BENJAMIN DPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
Copy
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