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1811461056
JOSEPH GORRICETA
POCATELLO, ID
NPI
1811461056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 3110)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
JOSEPH GORRICETA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
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Mailing Address
JOSEPH GORRICETA
1667 S LEE AVE
IDAHO FALLS, ID 83404-6033
Phone number:
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