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1568893667
LESTER BARROSO
MOUNTAIN HOME, ID
NPI
1568893667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3272)
Enumeration Date
2013-11-29
Last Update Date
2013-11-29
Business Address
-- LESTER BARROSO
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-602-0198
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Mailing Address
-- LESTER BARROSO
4391 S AXIOM AVE
BOISE, ID 83716-5626
Phone number:
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