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1194550053
KIMBERLY ANN KRUEGER
LEWISTON, ID
NPI
1194550053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: ID oan29fsqcc)
Enumeration Date
2024-09-02
Last Update Date
2024-09-02
Business Address
KIMBERLY ANN KRUEGER
407 MAIN ST
LEWISTON, ID 83501-6800
Phone number: 208-790-0303
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Mailing Address
KIMBERLY ANN KRUEGER
407 MAIN ST
LEWISTON, ID 83501-6800
Phone number: 208-790-0303
Copy
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