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1003322512
CALEB SMITH
POCATELLO, ID
NPI
1003322512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
CALEB SMITH
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
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Mailing Address
CALEB SMITH
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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