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1306155320
JOHN BOYATT PHILLIPS
POCATELLO, ID
NPI
1306155320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: ID POCATELLO BL3582)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
MR. JOHN BOYATT PHILLIPS MT
726 E HAYDEN ST
POCATELLO, ID 83201-6226
Phone number: 208-317-3278
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Mailing Address
MR. JOHN BOYATT PHILLIPS MT
726 E HAYDEN ST
POCATELLO, ID 83201-6226
Phone number: 208-317-3278
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