KEVIN NELSON

AMMON, ID
NPI1477009355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  1160)
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
KEVIN NELSON
1480 MIDWAY AVE
AMMON, ID 83406-4587
Phone number: 208-523-1980
Mailing Address
KEVIN NELSON
1480 MIDWAY AVE
AMMON, ID 83406-4587
Phone number: 208-523-1980
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