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1215957139
CONSTANCIO L CLETO
LAPWAI, ID
NPI
1215957139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246RM2200X Technician, Pathology, Medical Laboratory
(Licence: ID MT172684-02645309)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Mr. CONSTANCIO L CLETO MT
111 BEVER GRADE
LAPWAI, ID 83540
Phone number: 208-843-2271
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Mailing Address
Mr. CONSTANCIO L CLETO MT
PO BOX 367
LAPWAI, ID 83540-0367
Phone number: 208-843-2271
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