CHESS CARBOL

POCATELLO, ID
NPI1760927834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  4575)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- CHESS CARBOL
1578 MOUNTAIN SHADOW DR
POCATELLO, ID 83204-5041
Phone number: 208-220-1369
Mailing Address
-- CHESS CARBOL
1578 MOUNTAIN SHADOW DR
POCATELLO, ID 83204-5041
Phone number:
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