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1386116663
PETER SMITH
MERIDIAN, ID
NPI
1386116663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
PETER SMITH
1450 E FAIRVIEW AVE STE 201
MERIDIAN, ID 83642-1819
Phone number: 208-887-6757
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Mailing Address
PETER SMITH
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number:
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