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1194058891
MICHAEL K SEELYE
MOSCOW, ID
NPI
1194058891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other Surgical Technologist
(Licence: WA ST6002086)
Enumeration Date
2009-09-12
Last Update Date
2009-09-12
Business Address
MICHAEL K SEELYE ST
623 S MAIN ST STE 6
MOSCOW, ID 83843-2983
Phone number: 208-883-2828
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Mailing Address
MICHAEL K SEELYE ST
623 S MAIN ST STE 6
MOSCOW, ID 83843-2983
Phone number: 208-883-2828
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