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1215429535
SHAYLA RAE LANEY
LEWISTON, ID
NPI
1215429535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
Mrs. SHAYLA RAE LANEY
1117 17TH ST
LEWISTON, ID 83501-3059
Phone number: 208-305-6501
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Mailing Address
Mrs. SHAYLA RAE LANEY
1117 17TH ST
LEWISTON, ID 83501-3059
Phone number:
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