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1841939220
ZACHARY J EAGLE
MOSCOW, ID
NPI
1841939220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8244)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
ZACHARY J EAGLE PT
2009 S MAIN ST
MOSCOW, ID 83843-8913
Phone number: 208-618-8430
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Mailing Address
ZACHARY J EAGLE PT
947 NW HOQUIAM CT
CAMAS, WA 98607-8154
Phone number: 360-852-2466
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