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1568020279
KEVIN MICHAEL KULA
IDAHO FALLS, ID
NPI
1568020279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6165)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
KEVIN MICHAEL KULA
2640 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 435-757-0335
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Mailing Address
KEVIN MICHAEL KULA
3752 CITRUS DR
IDAHO FALLS, ID 83404-1233
Phone number: 435-757-0335
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