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1912697541
KADEN SUTHERLAND
REXBURG, ID
NPI
1912697541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8704)
Enumeration Date
2023-05-08
Last Update Date
2023-05-16
Business Address
KADEN SUTHERLAND PT
217 N 2ND E
REXBURG, ID 83440-1621
Phone number: 208-359-6127
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Mailing Address
KADEN SUTHERLAND PT
217 N 2ND E
REXBURG, ID 83440-1621
Phone number: 208-359-6127
Copy
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