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1588727879
WILLIAM BRENT GRIFFETH
IDAHO FALLS, ID
NPI
1588727879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT347)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- WILLIAM BRENT GRIFFETH
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
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Mailing Address
-- WILLIAM BRENT GRIFFETH
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
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