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1548815079
STANLEY RYAN PECK
TWIN FALLS, ID
NPI
1548815079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT6264)
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
STANLEY RYAN PECK PT, DPT
1053 EASTLAND DR
TWIN FALLS, ID 83301-6747
Phone number: 208-736-9011
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Mailing Address
STANLEY RYAN PECK PT, DPT
478 LOIS ST
TWIN FALLS, ID 83301-7636
Phone number:
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