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1710399209
CARMA CARSON
GOODING, ID
NPI
1710399209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-3518)
Enumeration Date
2014-06-02
Last Update Date
2014-06-02
Business Address
CARMA CARSON PTA
423 IDAHO ST STE A
GOODING, ID 83330-1258
Phone number: 208-934-9011
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Mailing Address
CARMA CARSON PTA
423 IDAHO ST STE A
GOODING, ID 83330-1258
Phone number: 208-934-9011
Copy
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