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1285194134
BRENT EARL PARKER
RIGBY, ID
NPI
1285194134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: ID 3586)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
Mr. BRENT EARL PARKER ATP
4715 E 200 N
RIGBY, ID 83442-5954
Phone number: 702-496-2784
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Mailing Address
Mr. BRENT EARL PARKER ATP
4715 E 200 N
RIGBY, ID 83442-5954
Phone number: 702-496-2784
Copy
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