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1801644307
SAMANTHA LORAINE HIRZ
IDAHO FALLS, ID
NPI
1801644307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-7123)
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
SAMANTHA LORAINE HIRZ
1355 CORINNE AVE
IDAHO FALLS, ID 83402-1751
Phone number: 509-855-3110
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Mailing Address
SAMANTHA LORAINE HIRZ
1355 CORINNE AVE
IDAHO FALLS, ID 83402-1751
Phone number: 509-855-3110
Copy
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