NICHOLAS L REFVEM

MOSCOW, ID
NPI1366558579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-218)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Mr. NICHOLAS L REFVEM ATC
124 KIBBIE ACTIVITY CTR BOX 442302
MOSCOW, ID 83844-2302
Phone number: 208-885-0212
Mailing Address
Mr. NICHOLAS L REFVEM ATC
819 TRUMAN ST
MOSCOW, ID 83843-9540
Phone number: 208-596-2998
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