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1417998162
JASON D ALLRED
MERIDIAN, ID
NPI
1417998162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1994)
Enumeration Date
2006-06-10
Last Update Date
2019-06-11
Business Address
Mr. JASON D ALLRED DPT
1588 W CAYUSE CREEK DR STE 110
MERIDIAN, ID 83646-4795
Phone number: 208-515-7575
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Mailing Address
Mr. JASON D ALLRED DPT
1588 W CAYUSE CREEK DR STE 200
MERIDIAN, ID 83646-4795
Phone number: 208-515-7575
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