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1407375405
DALE ROBERT GIBBS
MOUNTAIN HOME, ID
NPI
1407375405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-5372)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
DALE ROBERT GIBBS DPT
1005 W 6TH S
MOUNTAIN HOME, ID 83647-3339
Phone number: 208-587-1777
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Mailing Address
DALE ROBERT GIBBS DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
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