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1992322382
DALLIN SCOTT WILKES
FRUITLAND, ID
NPI
1992322382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 6741)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
DALLIN SCOTT WILKES DPT
2175 N WHITLEY DR.
FRUITLAND, ID 83619
Phone number: 208-452-7197
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Mailing Address
DALLIN SCOTT WILKES DPT
4032 S FEDERAL WAY APT E101
BOISE, ID 83716-5250
Phone number: 208-230-2762
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