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1508605874
BENJAMIN ANDERSON
CHUBBUCK, ID
NPI
1508605874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-9030)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
BENJAMIN ANDERSON DPT
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202-2360
Phone number: 208-237-1882
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Mailing Address
BENJAMIN ANDERSON DPT
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202-2360
Phone number: 208-237-1882
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