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1851455794
MICHAEL JOHN DEVITT
BOISE, ID
NPI
1851455794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: pt-859)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN DEVITT pt
1002 N 13TH ST
BOISE, ID 83702-4111
Phone number: 208-367-1528
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Mailing Address
Mr. MICHAEL JOHN DEVITT pt
1002 N 13TH ST
BOISE, ID 83702-4111
Phone number: 208-367-1528
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