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1326445024
SUSAN SWETNAM
POCATELLO, ID
NPI
1326445024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: ID MASG-2171)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
Dr. SUSAN SWETNAM
324 S 5TH AVE
POCATELLO, ID 83201-5803
Phone number: 208-339-1130
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Mailing Address
Dr. SUSAN SWETNAM
9388 W CHARLOTTE DR
POCATELLO, ID 83204-7210
Phone number: 208-339-1130
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