CLIFFORD KIRACOFE

HAYDEN, ID
NPI1427073212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  pt1579)
Enumeration Date2006-07-13
Last Update Date2008-03-31
Business Address
-- CLIFFORD KIRACOFE RPT
8836 N HESS ST STE C
HAYDEN, ID 83835-8718
Phone number: 208-772-6991
Mailing Address
-- CLIFFORD KIRACOFE RPT
PO BOX 293
HAYDEN, ID 83835-0293
Phone number: 208-772-6991
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