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1235963240
DEREK RONALD STRATE
IDAHO FALLS, ID
NPI
1235963240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 4261873)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
DEREK RONALD STRATE DPT
1510 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-522-7627
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Mailing Address
DEREK RONALD STRATE DPT
2413 EAGLE DR APT 201
AMMON, ID 83406-5743
Phone number: 801-919-6936
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