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1255876132
BARRY JOHNSTON
POCATELLO, ID
NPI
1255876132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID ota-1395)
Enumeration Date
2016-12-30
Last Update Date
2016-12-30
Business Address
-- BARRY JOHNSTON
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
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Mailing Address
-- BARRY JOHNSTON
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
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