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1861064198
MARK COUCH
REXBURG, ID
NPI
1861064198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT7329)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
MARK COUCH DPT
36 WINN DR STE 100
REXBURG, ID 83440-5277
Phone number: 208-356-0174
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Mailing Address
MARK COUCH DPT
36 WINN DR STE 100
REXBURG, ID 83440-5277
Phone number: 208-356-0174
Copy
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