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1093860710
BRENDA M FRITZ
IDAHO FALLS, ID
NPI
1093860710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ID pt-1468)
Enumeration Date
2007-01-24
Last Update Date
2010-08-04
Business Address
-- BRENDA M FRITZ mpt
2570 CHANNING WAY
IDAHO FALLS, ID 83404-7515
Phone number: 208-529-8005
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Mailing Address
-- BRENDA M FRITZ mpt
2570 CHANNING WAY
IDAHO FALLS, ID 83404-7515
Phone number: 208-529-8005
Copy
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