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1164988663
EDIE LUSTIG
GRANGEVILLE, ID
NPI
1164988663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: ID WA116016B)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
EDIE LUSTIG
711 N STATE ST
GRANGEVILLE, ID 83530-1650
Phone number: 208-507-2160
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Mailing Address
EDIE LUSTIG
711 N STATE ST
GRANGEVILLE, ID 83530-1650
Phone number: 208-507-2160
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