STEVE FULLER

LEWISTON, ID
NPI1942610985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2424)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
-- STEVE FULLER
1014 BURRELL AVE
LEWISTON, ID 83501-5589
Phone number: 208-743-4558
Mailing Address
-- STEVE FULLER
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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