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1588065882
EMILIE L PETERSON
POCATELLO, ID
NPI
1588065882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3602)
Enumeration Date
2014-09-06
Last Update Date
2014-09-06
Business Address
-- EMILIE L PETERSON DPT
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
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Mailing Address
-- EMILIE L PETERSON DPT
2001 BIRDIE THOMPSON DR APT 801
POCATELLO, ID 83201-2774
Phone number: 208-570-3636
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