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1861173247
RILEY D WALDECK
BOISE, ID
NPI
1861173247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT8820)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
RILEY D WALDECK DPT
3157 E BARBER VALLEY DR STE 120
BOISE, ID 83716-4770
Phone number: 208-901-8477
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Mailing Address
RILEY D WALDECK DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-901-8477
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