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1831592963
ETHAN RAYHORN
BOISE, ID
NPI
1831592963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3704)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
-- ETHAN RAYHORN DPT
1501A E SHENANDOAH DR.
BOISE, ID 83712-6660
Phone number: 906-362-5002
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Mailing Address
-- ETHAN RAYHORN DPT
1501A E SHENANDOAH DR
BOISE, ID 83712-6660
Phone number: 906-362-5002
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