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1831419332
BRIAN CARLTON WEIDERMAN
MERIDIAN, ID
NPI
1831419332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT2663)
Enumeration Date
2010-06-07
Last Update Date
2014-10-08
Business Address
-- BRIAN CARLTON WEIDERMAN P.T.
3645 E. OVERLAND RD.
MERIDIAN, ID 83642
Phone number: 208-888-7765
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Mailing Address
-- BRIAN CARLTON WEIDERMAN P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
PORTLAND, OR 97224-7736
Phone number: 800-219-8835
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