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1982131124
MARCIAL RODRIGO LEMOS
POCATELLO, ID
NPI
1982131124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID 5116)
Enumeration Date
2017-05-18
Last Update Date
2017-05-18
Business Address
MARCIAL RODRIGO LEMOS
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
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Mailing Address
MARCIAL RODRIGO LEMOS
PO BOX 91
ABERDEEN, ID 83210-0091
Phone number: 208-339-8791
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