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1356879431
ERICA RUNYAN
MOSCOW, ID
NPI
1356879431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
ERICA RUNYAN
709 S DEAKIN ST
MOSCOW, ID 83844-9802
Phone number: 360-621-1243
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Mailing Address
ERICA RUNYAN
300 SW KIMBALL DR APT A
PULLMAN, WA 99163-2112
Phone number: 360-621-1243
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