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1376842419
MARY ANN MENDOZA DE GUZMAN
POCATELLO, ID
NPI
1376842419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XG0600X Occupational Therapist Gerontology
(Licence: ID OT-906)
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
MRS. MARY ANN MENDOZA DE GUZMAN OT
1200 HOSPITAL WAY
POCATELLO, ID 83201-2708
Phone number: 208-232-2570
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Mailing Address
MRS. MARY ANN MENDOZA DE GUZMAN OT
2535 WOODHILL WAY
POCATELLO, ID 83201-2613
Phone number: 208-233-1679
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