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1215675913
MAYA LAWSON RIVERA
MOSCOW, ID
NPI
1215675913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
MAYA LAWSON RIVERA
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-4074
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Mailing Address
MAYA LAWSON RIVERA
2280 OLD PULLMAN RD
MOSCOW, ID 83843-8877
Phone number:
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