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1508344201
MEGAN FREY
MOSCOW, ID
NPI
1508344201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation Sports Medicine
(Licence: ID AT-668)
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
MEGAN FREY ATC
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-0225
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Mailing Address
MEGAN FREY ATC
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-0225
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