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1396136743
TREVOR BRICE DIMOND
REXBURG, ID
NPI
1396136743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3826)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2015-02-06
Last Update Date
2023-02-22
Business Address
TREVOR BRICE DIMOND DPT
526 FIRST AMERICAN CIR
REXBURG, ID 83440-5400
Phone number: 208-534-7001
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Mailing Address
TREVOR BRICE DIMOND DPT
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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