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1578139887
JOSEPH COLLETT
IDAHO FALLS, ID
NPI
1578139887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7271)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
JOSEPH COLLETT
1510 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-522-7627
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Mailing Address
JOSEPH COLLETT
1510 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-522-7627
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