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1790154128
MICHAEL LEMMON
BOISE, ID
NPI
1790154128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT4175)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- MICHAEL LEMMON DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-476-9365
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Mailing Address
-- MICHAEL LEMMON DPT
1005 MICHIGAN AVENUE
OROFINO, ID 83544-2546
Phone number: 208-476-9365
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