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1326055617
JARED PRINCE
EAGLE, ID
NPI
1326055617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8967)
Enumeration Date
2006-08-01
Last Update Date
2024-02-15
Business Address
JARED PRINCE PT
7599 W DEERFAWN LN
EAGLE, ID 83616-5616
Phone number: 208-570-5200
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Mailing Address
JARED PRINCE PT
7599 W DEERFAWN LN
EAGLE, ID 83616-5616
Phone number: 208-570-5200
Copy
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