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1972171114
DALLIN ROBERT LEIFSON
IDAHO FALLS, ID
NPI
1972171114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7487)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
Mr. DALLIN ROBERT LEIFSON PT, DPT
3345 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-233-2248
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Mailing Address
Mr. DALLIN ROBERT LEIFSON PT, DPT
263 S STOUT AVE
BLACKFOOT, ID 83221-3230
Phone number: 801-389-6496
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