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1821657123
DREW ALAN DETWILER
BOISE, ID
NPI
1821657123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 6133)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
Mr. DREW ALAN DETWILER PT, DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
Mr. DREW ALAN DETWILER PT, DPT
2020 ROAD F5
EMPORIA, KS 66801-7692
Phone number: 620-412-6305
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