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1689088726
KYLE DONOVAN MAUGHAN
BOISE, ID
NPI
1689088726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3478)
Enumeration Date
2014-06-17
Last Update Date
2014-06-20
Business Address
-- KYLE DONOVAN MAUGHAN DPT
1001 S HILTON ST
BOISE, ID 83705-1925
Phone number: 509-552-6910
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Mailing Address
-- KYLE DONOVAN MAUGHAN DPT
1001 S HILTON ST
BOISE, ID 83705-1925
Phone number: 509-552-6910
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