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1528414513
MANDY SMITH
POCATELLO, ID
NPI
1528414513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-4580)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- MANDY SMITH PTA
1951 BENCH RD SUITE E
POCATELLO, ID 83201-2013
Phone number: 208-237-2080
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Mailing Address
-- MANDY SMITH PTA
1951 BENCH RD SUITE E
POCATELLO, ID 83201-2013
Phone number: 208-237-2080
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