JEOFFREY NYBORG

BOISE, ID
NPI1811060510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-294)
Enumeration Date2006-11-17
Last Update Date2010-03-09
Business Address
-- JEOFFREY NYBORG RPT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1593
Mailing Address
-- JEOFFREY NYBORG RPT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1593
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