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1841532850
RYAN STEWART
POCATELLO, ID
NPI
1841532850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3077)
Enumeration Date
2013-03-18
Last Update Date
2013-03-18
Business Address
Mr. RYAN STEWART PT
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
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Mailing Address
Mr. RYAN STEWART PT
558 ALAMO ST
CHUBBUCK, ID 83202-7601
Phone number: 208-904-0165
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