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1386315745
JOANNA GAIL SWALLOW
POCATELLO, ID
NPI
1386315745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-7315)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
JOANNA GAIL SWALLOW PTA
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
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Mailing Address
JOANNA GAIL SWALLOW PTA
4662 CHRISTINE ST
CHUBBUCK, ID 83202-6500
Phone number: 208-220-6700
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