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1114495751
JARROD CHARLES BROWNSBERGER
CHUBBUCK, ID
NPI
1114495751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
(Licence: ID PT5030)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
MR. JARROD CHARLES BROWNSBERGER DPT
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202-2360
Phone number: 208-237-1882
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Mailing Address
MR. JARROD CHARLES BROWNSBERGER DPT
145 S 18TH AVE
POCATELLO, ID 83201-3342
Phone number: 208-317-9841
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