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1871119446
LEVI PETERSON WILLIAMS
AMMON, ID
NPI
1871119446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 6754)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
LEVI PETERSON WILLIAMS DPT, PT
1615 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-516-1204
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Mailing Address
LEVI PETERSON WILLIAMS DPT, PT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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