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1639277684
DEVAN PAUL KRESS
IDAHO FALLS, ID
NPI
1639277684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: ID 2090)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- DEVAN PAUL KRESS MPT
2189 STAFFORD CIR
IDAHO FALLS, ID 83401-5979
Phone number: 208-542-5069
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Mailing Address
-- DEVAN PAUL KRESS MPT
2189 STAFFORD CIR
IDAHO FALLS, ID 83401-5979
Phone number: 208-542-5069
Copy
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