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1265787196
DAVID NELS BRANVOLD
TWIN FALLS, ID
NPI
1265787196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3093)
Enumeration Date
2012-07-17
Last Update Date
2018-02-12
Business Address
DAVID NELS BRANVOLD DPT
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-2495
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Mailing Address
DAVID NELS BRANVOLD DPT
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-2495
Copy
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