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1053605907
LAURA M SPRAGUE
POCATELLO, ID
NPI
1053605907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2849)
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
-- LAURA M SPRAGUE DPT
285 VISTA DR SUITE A
POCATELLO, ID 83201-4987
Phone number: 208-478-1488
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Mailing Address
-- LAURA M SPRAGUE DPT
2176 E FRANKLIN RD SUITE 100
MERIDIAN, ID 83642-9024
Phone number: 208-288-1155
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