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1326511056
SHELBY HYDE
BOISE, ID
NPI
1326511056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 5994)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
SHELBY HYDE
960 S BROADWAY AVE STE 200
BOISE, ID 83706-3667
Phone number: 208-433-9211
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Mailing Address
SHELBY HYDE
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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