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1609147966
CRAE BERRETT
POCATELLO, ID
NPI
1609147966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-0851)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
-- CRAE BERRETT PT
2891 SHELLY PL
POCATELLO, ID 83201-1998
Phone number: 208-251-1107
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Mailing Address
-- CRAE BERRETT PT
2891 SHELLY PL
POCATELLO, ID 83201-1998
Phone number: 208-251-1107
Copy
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