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1437694460
KRISTINA MANNING
POCATELLO, ID
NPI
1437694460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID pt-4004)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- KRISTINA MANNING
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
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Mailing Address
-- KRISTINA MANNING
93 WESTELLO BLVD
POCATELLO, ID 83204-4702
Phone number: 208-757-7161
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