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1144730433
JAKUB PIJOR
MOSCOW, ID
NPI
1144730433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-587)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
JAKUB PIJOR ATC, LAT
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6394
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Mailing Address
JAKUB PIJOR ATC, LAT
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number:
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