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1356409445
CODY SHAWN LILJENQUIST
BURLEY, ID
NPI
1356409445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NX0800X Chiropractor, Orthopedic
(Licence: ID CHIA577)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- CODY SHAWN LILJENQUIST D.C.
1700 OVERLAND AVE
BURLEY, ID 83318-2436
Phone number: 208-678-2631
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Mailing Address
-- CODY SHAWN LILJENQUIST D.C.
1700 OVERLAND AVE
BURLEY, ID 83318-2436
Phone number: 208-678-2631
Copy
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