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1740054964
ZACHARY WHITE
FRUITLAND, ID
NPI
1740054964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8909)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
ZACHARY WHITE PT
2175 N WHITLEY DR
FRUITLAND, ID 83619-2132
Phone number: 208-452-7197
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Mailing Address
ZACHARY WHITE PT
2175 N WHITLEY DR
FRUITLAND, ID 83619-2132
Phone number: 208-452-7197
Copy
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