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1093147308
MICHAEL LAFFERTY
WEISER, ID
NPI
1093147308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3058)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
-- MICHAEL LAFFERTY PTA
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-2416
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Mailing Address
-- MICHAEL LAFFERTY PTA
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-2416
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