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1083788764
EDWARD T SCHWARZE
POCATELLO, ID
NPI
1083788764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT618)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- EDWARD T SCHWARZE MPT
560 MEMORIAL DR SUITE C
POCATELLO, ID 83201-4073
Phone number: 208-233-4648
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Mailing Address
-- EDWARD T SCHWARZE MPT
560 MEMORIAL DR SUITE C
POCATELLO, ID 83201-4073
Phone number: 208-233-4648
Copy
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