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Individual

DILLON RHET MERRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MOTRL

Contact information

Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 354-9570
Mailing address
1910 E 500 N, SAINT ANTHONY, ID 83445-5303

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1228
ID

Other

Enumeration date
07/02/2013
Last updated
03/28/2014
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