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1629274675
CLINTON WHITE
COEUR D ALENE, ID
NPI
1629274675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-535)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- CLINTON WHITE
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
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Mailing Address
-- CLINTON WHITE
1919 S SILVER BEACH RD
COEUR D ALENE, ID 83814-7532
Phone number:
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