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1841216009
RAJCOOMAR ISSUREE
BOISE, ID
NPI
1841216009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT670)
Enumeration Date
2006-07-14
Last Update Date
2010-03-29
Business Address
-- RAJCOOMAR ISSUREE RPT
8950 W EMERALD ST SUITE #195
BOISE, ID 83704-4854
Phone number: 208-376-7313
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Mailing Address
-- RAJCOOMAR ISSUREE RPT
8950 W EMERALD ST STE 195
BOISE, ID 83704-8296
Phone number: 208-376-7313
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