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1215791280
JASON GRAMAJO
MERIDIAN, ID
NPI
1215791280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8913)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
JASON GRAMAJO DPT
2316 S EAGLE RD
MERIDIAN, ID 83642-2665
Phone number: 208-286-2707
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Mailing Address
JASON GRAMAJO DPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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