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1831736487
WESTON STANWORTH
MOUNTAIN HOME, ID
NPI
1831736487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
WESTON STANWORTH
1005 W AIRBASE RD
MOUNTAIN HOME, ID 83647-3339
Phone number: 208-587-1784
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Mailing Address
WESTON STANWORTH
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0765
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