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1588030290
JESSICA R MOONEY
POCATELLO, ID
NPI
1588030290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4054)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
JESSICA R MOONEY DPT
1033 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
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Mailing Address
JESSICA R MOONEY DPT
1033 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
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