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1407421126
BEAU STEPHEN LOCKMER
BOISE, ID
NPI
1407421126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7235)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
BEAU STEPHEN LOCKMER PT, DPT
1673 W SHORELINE DR STE 230
BOISE, ID 83702-6752
Phone number: 208-343-4700
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Mailing Address
BEAU STEPHEN LOCKMER PT, DPT
645 E STATE ST STE 101
EAGLE, ID 83616-5915
Phone number: 208-939-9594
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