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1790354819
RICHARD LEE
IDAHO FALLS, ID
NPI
1790354819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-7321)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
RICHARD LEE
4000 S 25TH E
IDAHO FALLS, ID 83404-7524
Phone number: 208-547-5796
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Mailing Address
RICHARD LEE
4000 S 25TH E
IDAHO FALLS, ID 83404-7524
Phone number:
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