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1689779803
JOHN REILLY
BOISE, ID
NPI
1689779803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT 460)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. JOHN REILLY PT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1368
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Mailing Address
Mr. JOHN REILLY PT
4048 S IRIONDO WAY
BOISE, ID 83706-5784
Phone number: 208-345-2657
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