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1598500878
BRYAN DANIEL CELIS
REXBURG, ID
NPI
1598500878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
Mr. BRYAN DANIEL CELIS
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-359-9570
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Mailing Address
Mr. BRYAN DANIEL CELIS
565 PIONEER RD APT 156
REXBURG, ID 83440-4987
Phone number: 208-410-5659
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