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1649769134
ROBERT MITCHELL BECKSTEAD
POCATELLO, ID
NPI
1649769134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-5647)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
ROBERT MITCHELL BECKSTEAD DPT
675 YELLOWSTONE AVE STE 1
POCATELLO, ID 83201-4511
Phone number: 208-478-1488
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Mailing Address
ROBERT MITCHELL BECKSTEAD DPT
675 YELLOWSTONE AVE STE 1
POCATELLO, ID 83201-4511
Phone number: 208-478-1488
Copy
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