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1740693050
MARK THOMPSON
IDAHO FALLS, ID
NPI
1740693050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3573)
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
-- MARK THOMPSON DPT
3155 CHANNING WAY SUITE D
IDAHO FALLS, ID 83404-7534
Phone number: 208-552-2700
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Mailing Address
-- MARK THOMPSON DPT
1560 S CAROL ST
MERIDIAN, ID 83646-1839
Phone number: 208-288-1155
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