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1194253302
TYLER ATKINSON
MOSCOW, ID
NPI
1194253302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
TYLER ATKINSON
875 PERIMETER DR
MOSCOW, ID 83844
Phone number: 888-884-3246
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Mailing Address
TYLER ATKINSON
209 W TAYLOR AVE APT 20
MOSCOW, ID 83843-4419
Phone number:
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