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1972750594
PHILLIP WADE KREISSLER
NAMPA, ID
NPI
1972750594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2382)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
PHILLIP WADE KREISSLER DPT
1015 12TH AVE S SUITE 105
NAMPA, ID 83651-4602
Phone number: 208-467-4357
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Mailing Address
PHILLIP WADE KREISSLER DPT
1015 12TH AVE S SUITE 105
NAMPA, ID 83651-4602
Phone number: 208-467-4357
Copy
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