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1396237616
BRENDON REED JUDD
MOSCOW, ID
NPI
1396237616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
BRENDON REED JUDD
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-827-2186
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Mailing Address
BRENDON REED JUDD
3013 MEADOWLARK DR
LEWISTON, ID 83501-9668
Phone number: 208-827-2186
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