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1336528009
STEVEN R KLITGAARD
POCATELLO, ID
NPI
1336528009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-248)
Enumeration Date
2015-05-27
Last Update Date
2015-05-29
Business Address
-- STEVEN R KLITGAARD PT
1800 FLANDRO DR
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
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Mailing Address
-- STEVEN R KLITGAARD PT
1800 FLANDRO DR
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
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