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1669602256
STEVEN MERRILL BASTIAN
NAMPA, ID
NPI
1669602256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 2932)
Enumeration Date
2009-07-17
Last Update Date
2016-12-06
Business Address
Mr. STEVEN MERRILL BASTIAN DPT
130 S MIDLAND BLVD
NAMPA, ID 83686-2601
Phone number: 208-461-5057
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Mailing Address
Mr. STEVEN MERRILL BASTIAN DPT
1906 FAIRVIEW AVE STE 410
CALDWELL, ID 83605-5407
Phone number: 208-454-9839
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