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1629312269
BRIAN M HOLGATE
BOISE, ID
NPI
1629312269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1463)
Enumeration Date
2012-11-20
Last Update Date
2015-07-13
Business Address
-- BRIAN M HOLGATE MPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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Mailing Address
-- BRIAN M HOLGATE MPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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