JESSE SAMPOGNA

BOISE, ID
NPI1285258186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-6709)
Enumeration Date2020-06-05
Last Update Date2020-06-05
Business Address
JESSE SAMPOGNA DPT
9508 W FAIRVIEW AVE
BOISE, ID 83704-8103
Phone number: 208-323-1313
Mailing Address
JESSE SAMPOGNA DPT
6023 S KELSO WAY
BOISE, ID 83709-4055
Phone number: 208-789-7763
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