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1861622078
JEREMY A MAYO
BOISE, ID
NPI
1861622078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT2557)
Enumeration Date
2009-07-22
Last Update Date
2010-09-14
Business Address
-- JEREMY A MAYO DPT
5520 N EAGLE RD SUITE 102
BOISE, ID 83713-2700
Phone number: 208-938-5255
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Mailing Address
-- JEREMY A MAYO DPT
2176 E FRANKLIN RD SUITE 100
MERIDIAN, ID 83642-9024
Phone number: 208-288-1155
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