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1225165939
RICKY KAREN LEWIS
MOSCOW, ID
NPI
1225165939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-157)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Prof. RICKY KAREN LEWIS ATC-R
727 NEZ PERCE DR
MOSCOW, ID 83843-4137
Phone number: 208-882-4368
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Mailing Address
Prof. RICKY KAREN LEWIS ATC-R
727 NEZ PERCE DR
MOSCOW, ID 83843-4137
Phone number: 208-882-4368
Copy
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