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1457800252
PAUL COWART
BOISE, ID
NPI
1457800252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID 049)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
-- PAUL COWART
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
-- PAUL COWART
109 E BANNOCK
BOISE, ID 83712
Phone number: 208-381-2078
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