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1982986923
CLINTON AXMAN
JEROME, ID
NPI
1982986923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 2915)
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
-- CLINTON AXMAN PT
128 5TH AVE W
JEROME, ID 83338-1863
Phone number: 208-324-3090
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Mailing Address
-- CLINTON AXMAN PT
128 5TH AVE W
JEROME, ID 83338-1863
Phone number:
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