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1306520473
PARKER JON HENDRICKSON
BOISE, ID
NPI
1306520473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8744)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
PARKER JON HENDRICKSON DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
PARKER JON HENDRICKSON DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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