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1245518000
MICHELLE LYNN GORTON
MOSCOW, ID
NPI
1245518000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: WA ST00003279)
Enumeration Date
2011-07-28
Last Update Date
2011-07-28
Business Address
-- MICHELLE LYNN GORTON CST
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828
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Mailing Address
-- MICHELLE LYNN GORTON CST
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828
Copy
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