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1003208638
VICKEY SCHMADEKA
BOISE, ID
NPI
1003208638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: ID MAS-2130)
Enumeration Date
2015-02-18
Last Update Date
2015-02-18
Business Address
-- VICKEY SCHMADEKA
8565 W STONEHAVEN ST
BOISE, ID 83704-7079
Phone number: 541-805-0028
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Mailing Address
-- VICKEY SCHMADEKA
8565 W STONEHAVEN ST
BOISE, ID 83704-7079
Phone number: 541-805-0028
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