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1841563335
ERIC ANDREASEN
REXBURG, ID
NPI
1841563335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1527)
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
-- ERIC ANDREASEN MPT
393 EAST SECOND NORTH
REXBURG, ID 83440
Phone number: 208-359-9570
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Mailing Address
-- ERIC ANDREASEN MPT
475 CITY STREET PO BOX 173
NEWDALE, ID 83436
Phone number: 208-458-4721
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