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1396992822
CALDWELL S. MCMULLEN
SANDPOINT, ID
NPI
1396992822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2002)
Enumeration Date
2008-08-27
Last Update Date
2012-07-06
Business Address
Mr. CALDWELL S. MCMULLEN RPT
1301 N DIVISION AVE
SANDPOINT, ID 83864-8268
Phone number: 208-265-0610
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Mailing Address
Mr. CALDWELL S. MCMULLEN RPT
1301 N DIVISION AVE
SANDPOINT, ID 83864-8268
Phone number: 208-265-0610
Copy
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