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1467789065
THOMAS DOMINGO SHAW
TWIN FALLS, ID
NPI
1467789065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1189)
Enumeration Date
2009-11-03
Last Update Date
2016-03-17
Business Address
Mr. THOMAS DOMINGO SHAW P.T.
601 POLE LINE RD
TWIN FALLS, ID 83301-3035
Phone number: 208-814-7600
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Mailing Address
Mr. THOMAS DOMINGO SHAW P.T.
601 POLE LINE RD
TWIN FALLS, ID 83301-3035
Phone number: 208-814-7600
Copy
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