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1851494637
RYAN LESLIE MYHRE
NAMPA, ID
NPI
1851494637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT2097)
Enumeration Date
2006-09-06
Last Update Date
2009-10-06
Business Address
Mr. RYAN LESLIE MYHRE DPT
5251 E. EXCHANGE WAY
NAMPA, ID 83687
Phone number: 208-466-9642
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Mailing Address
Mr. RYAN LESLIE MYHRE DPT
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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