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1386368066
INGA ERICKSON
MOSCOW, ID
NPI
1386368066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-828)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
Miss INGA ERICKSON MS, LAT, ATC
875 PERIMETER DR # MS 2302
MOSCOW, ID 83844-9803
Phone number: 360-640-4553
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Mailing Address
Miss INGA ERICKSON MS, LAT, ATC
875 PERIMETER DR # MS 2302
MOSCOW, ID 83844-2302
Phone number:
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