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1609960947
BENJAMIN NATHANIEL SHATTO
BOISE, ID
NPI
1609960947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1883)
Enumeration Date
2006-10-03
Last Update Date
2023-03-30
Business Address
Mr. BENJAMIN NATHANIEL SHATTO RPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
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Mailing Address
Mr. BENJAMIN NATHANIEL SHATTO RPT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-374-7288
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