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1659014926
MARK DAVID ADAMS
BOISE, ID
NPI
1659014926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 03246)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
MARK DAVID ADAMS PT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
MARK DAVID ADAMS PT
4439 SE OGDEN ST
PORTLAND, OR 97206-8455
Phone number: 503-863-9786
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