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1912743501
SETH KOYLE
BURLEY, ID
NPI
1912743501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation Sports Medicine
(Licence: ID AT-726)
Enumeration Date
2024-07-03
Last Update Date
2024-07-23
Business Address
SETH KOYLE
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number: 208-678-4444
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Mailing Address
SETH KOYLE
1121 DIAMOND DR
RUPERT, ID 83350-2219
Phone number: 208-312-7939
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