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1346080462
BRYANT LEE GARDNER
IDAHO FALLS, ID
NPI
1346080462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-9083)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
BRYANT LEE GARDNER
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404-8310
Phone number: 208-523-8879
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Mailing Address
BRYANT LEE GARDNER
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404-8310
Phone number: 208-523-8879
Copy
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