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1255477659
BRIAN MATTHEW SMITH
POCATELLO, ID
NPI
1255477659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID n34646)
Enumeration Date
2007-01-30
Last Update Date
2012-06-13
Business Address
-- BRIAN MATTHEW SMITH RN
444 HOSPITAL WAY SUITE 801
POCATELLO, ID 83201-2745
Phone number: 208-232-6214
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Mailing Address
-- BRIAN MATTHEW SMITH RN
1621 SHASTA ST
POCATELLO, ID 83201-2223
Phone number: 208-238-3229
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