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1962959353
GWENDOLYN BLYTHE
MERIDIAN, ID
NPI
1962959353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2236)
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
-- GWENDOLYN BLYTHE P.T.
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5537
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Mailing Address
-- GWENDOLYN BLYTHE P.T.
1410 E RIVERS END DR
EAGLE, ID 83616-6385
Phone number:
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