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1801343181
MICHAEL LANGFORD
BOISE, ID
NPI
1801343181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1100)
Enumeration Date
2016-09-05
Last Update Date
2016-09-05
Business Address
-- MICHAEL LANGFORD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
-- MICHAEL LANGFORD
3953 E SWEET PEA CT
BOISE, ID 83716-6942
Phone number: 208-383-0731
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