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1013531680
DALTON TANNER PITTS
MOSCOW, ID
NPI
1013531680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
DALTON TANNER PITTS
1433 W A ST
MOSCOW, ID 83843-3274
Phone number: 626-862-0430
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Mailing Address
DALTON TANNER PITTS
860 N REEDER AVE
COVINA, CA 91724-2644
Phone number:
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