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1669034823
KENDRICK JUSTIN KING GUNNING
MERIDIAN, ID
NPI
1669034823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-4208)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
KENDRICK JUSTIN KING GUNNING PTA
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: 208-706-2333
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Mailing Address
KENDRICK JUSTIN KING GUNNING PTA
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number:
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