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1376819458
KATIE M DIETZ
POST FALLS, ID
NPI
1376819458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60221323)
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
-- KATIE M DIETZ LMP
605 N SHETLAND CT
POST FALLS, ID 83854-5447
Phone number: 208-215-8140
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Mailing Address
-- KATIE M DIETZ LMP
605 N SHETLAND CT
POST FALLS, ID 83854-5447
Phone number: 208-215-8140
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