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1417356445
JASON MARKETTI
LEWISTON, ID
NPI
1417356445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-2122)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- JASON MARKETTI PTA
2870 JUNIPER DR
LEWISTON, ID 83501-4720
Phone number: 208-746-2800
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Mailing Address
-- JASON MARKETTI PTA
PO BOX 273
LEWISTON, ID 83501-0273
Phone number: 208-745-3231
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