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1457502288
EDWARD GREGORY SMITH
POCATELLO, ID
NPI
1457502288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: ID HA-1052)
Enumeration Date
2008-10-10
Last Update Date
2008-10-10
Business Address
Mr. EDWARD GREGORY SMITH M.S., CCC-A
921 S 8TH AVE STOP 8116
POCATELLO, ID 83209-0002
Phone number: 208-282-3495
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Mailing Address
Mr. EDWARD GREGORY SMITH M.S., CCC-A
1651 W SUNDANCE RD
POCATELLO, ID 83204-7418
Phone number: 208-233-3435
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