JASON DERIC LEBEL

POCATELLO, ID
NPI1982905972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2439)
Enumeration Date2010-11-08
Last Update Date2010-11-08
Business Address
-- JASON DERIC LEBEL PT
4650 HAWTHORNE RD SUITE 2B
POCATELLO, ID 83202-2376
Phone number: 208-221-6952
Mailing Address
-- JASON DERIC LEBEL PT
9417 N CONNELL RD
POCATELLO, ID 83201-9057
Phone number: 208-406-7975
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