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1457083370
CRAIG GODFREY
POCATELLO, ID
NPI
1457083370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-5204)
Enumeration Date
2022-06-29
Last Update Date
2024-09-23
Business Address
CRAIG GODFREY DPT
1001 N 7TH AVE STE 280
POCATELLO, ID 83201-5788
Phone number: 208-239-1490
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Mailing Address
CRAIG GODFREY DPT
1001 N 7TH AVE STE 205
POCATELLO, ID 83201-5761
Phone number: 208-239-1490
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