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1912518275
AUSTIN STURDIVANT
BOISE, ID
NPI
1912518275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
AUSTIN STURDIVANT PT, DPT
7711 W RIVERSIDE DR
BOISE, ID 83714-6182
Phone number: 208-813-9544
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Mailing Address
AUSTIN STURDIVANT PT, DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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