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1124209820
ORTHOPRO OF LEWISTON INC
LEWISTON, ID
NPI
1124209820
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Entity Type
Organization
Authorized Contact
MARSHALL R BLACK
Owner
208-798-0200
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2007-11-21
Last Update Date
2016-09-27
Business Address
ORTHOPRO OF LEWISTON INC
823 16TH AVE
LEWISTON, ID 83501-3733
Phone number: 208-798-0200
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Mailing Address
ORTHOPRO OF LEWISTON INC
823 16TH AVE
LEWISTON, ID 83501-3733
Phone number: 208-798-0200
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