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1336845023
MASON DALE ORTON
AMMON, ID
NPI
1336845023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8482)
Enumeration Date
2023-02-03
Last Update Date
2023-02-08
Business Address
MASON DALE ORTON DPT
1615 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-516-1204
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Mailing Address
MASON DALE ORTON DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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