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1669664488
TERENCE KEVIN POTTS
HAILEY, ID
NPI
1669664488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NM 2896)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
MR. TERENCE KEVIN POTTS LMT. LLCC
16 W CROY ST SUITE K
HAILEY, ID 83333-9700
Phone number: 208-450-7665
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Mailing Address
MR. TERENCE KEVIN POTTS LMT. LLCC
PO BOX 3943
HAILEY, ID 83333-3943
Phone number: 208-450-7665
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