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1477045581
TYREL NELSON
REXBURG, ID
NPI
1477045581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 5655)
Enumeration Date
2018-06-04
Last Update Date
2023-02-22
Business Address
TYREL NELSON PT
1120 STOCKS AVE STE C
REXBURG, ID 83440-3590
Phone number: 208-261-2123
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Mailing Address
TYREL NELSON PT
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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