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1487717054
TY OGATA
BOISE, ID
NPI
1487717054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA920)
Enumeration Date
2006-12-18
Last Update Date
2012-12-11
Business Address
Mr. TY OGATA DC
12353 W MCMILLAN RD
BOISE, ID 83713-5052
Phone number: 208-938-3334
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Mailing Address
Mr. TY OGATA DC
12353 W MCMILLAN RD
BOISE, ID 83713-5052
Phone number: 208-938-3334
Copy
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