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1689052219
KEVIN WESLEY WARD
POCATELLO, ID
NPI
1689052219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2386)
Enumeration Date
2015-05-15
Last Update Date
2015-05-15
Business Address
-- KEVIN WESLEY WARD PT, DPT
1800 FLANDRO DR SUITE 190
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
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Mailing Address
-- KEVIN WESLEY WARD PT, DPT
1800 FLANDRO DR SUITE 190
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
Copy
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