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1124639653
SOPHIA M GARRETT
CHUBBUCK, ID
NPI
1124639653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6682)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
SOPHIA M GARRETT DPT
265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202-5055
Phone number: 208-417-0011
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Mailing Address
SOPHIA M GARRETT DPT
265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202-5055
Phone number: 208-417-0011
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