IAN CLINT IDAYAN

NAMPA, ID
NPI1659829869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT2201)
Enumeration Date2016-09-16
Last Update Date2016-09-16
Business Address
-- IAN CLINT IDAYAN PT
2105 12TH AVE RD
NAMPA, ID 83686-6312
Phone number: 208-467-5721
Mailing Address
-- IAN CLINT IDAYAN PT
2105 12TH AVE RD
NAMPA, ID 83686-6312
Phone number:
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