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1386018521
MOISES JOSHUA ALBANO
BOISE, ID
NPI
1386018521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3098)
Enumeration Date
2015-11-27
Last Update Date
2015-11-27
Business Address
-- MOISES JOSHUA ALBANO
3115 N SYCAMORE DR
BOISE, ID 83703-4129
Phone number: 208-343-7726
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Mailing Address
-- MOISES JOSHUA ALBANO
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 877-407-3422
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