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1508263757
DERRICK GEDDES LYONS
MERIDIAN, ID
NPI
1508263757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT - 2994)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
-- DERRICK GEDDES LYONS PT, DPT
1642 E ADELAIDE DR
MERIDIAN, ID 83642-9225
Phone number: 904-540-8975
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Mailing Address
-- DERRICK GEDDES LYONS PT, DPT
1642 E ADELAIDE DR
MERIDIAN, ID 83642-9225
Phone number:
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