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1598304321
RYAN DALE
MERIDIAN, ID
NPI
1598304321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6563)
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
RYAN DALE DPT
50 E JAMES COURT DR STE A
MERIDIAN, ID 83646-8751
Phone number: 208-895-0715
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Mailing Address
RYAN DALE DPT
50 E JAMES COURT DR STE A
MERIDIAN, ID 83646-8751
Phone number: 208-895-0715
Copy
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