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1588010821
KELSON RICHARDS
TWIN FALLS, ID
NPI
1588010821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4396)
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
-- KELSON RICHARDS DPT
1444 FALLS AVE E
TWIN FALLS, ID 83301-3408
Phone number: 208-736-2574
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Mailing Address
-- KELSON RICHARDS DPT
1444 FALLS AVE E
TWIN FALLS, ID 83301-3408
Phone number: 208-736-2574
Copy
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