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1639739022
BRYAN PHILIP LAWSON
POCATELLO, ID
NPI
1639739022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ID PT-6198)
Enumeration Date
2019-06-18
Last Update Date
2024-07-25
Business Address
BRYAN PHILIP LAWSON PT
920 DEON DR STE D
POCATELLO, ID 83201
Phone number: 208-425-1470
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Mailing Address
BRYAN PHILIP LAWSON PT
920 DEON DR STE D
POCATELLO, ID 83201
Phone number: 208-425-1470
Copy
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