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1235385659
PRIMARY THERAPY SOURCE LLC
TWIN FALLS, ID
NPI
1235385659
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Entity Type
Organization
Authorized Contact
JAN YINGST
Owner
208-734-7333
Organization Subpart ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
PRIMARY THERAPY SOURCE LLC
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
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Mailing Address
PRIMARY THERAPY SOURCE LLC
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
Copy
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