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1831626639
DANIEL LEATHAM
POCATELLO, ID
NPI
1831626639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OTL-1761)
Enumeration Date
2017-05-11
Last Update Date
2017-05-12
Business Address
DANIEL LEATHAM MOT/L
1110 CALL CREEK DR STE. 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
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Mailing Address
DANIEL LEATHAM MOT/L
1110 CALL CREEK DR STE. 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
Copy
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