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1730706581
RYAN JAY ESTUS
AMMON, ID
NPI
1730706581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 6833)
Enumeration Date
2020-06-28
Last Update Date
2021-05-28
Business Address
RYAN JAY ESTUS DPT
1615 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-516-1204
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Mailing Address
RYAN JAY ESTUS DPT
246 N CURLEW DR APT 11307
AMMON, ID 83401-1458
Phone number: 405-742-7830
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