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1588031710
VICTOR HUGO MARTINEZ
POCATELLO, ID
NPI
1588031710
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Former Name
VICTOR HUGO MARTINEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3201)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- VICTOR HUGO MARTINEZ
1957 ALVIN RICKEN DRIVE
POCATELLO, ID 83201
Phone number: 208-227-4252
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Mailing Address
-- VICTOR HUGO MARTINEZ
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
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