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1407344203
EBER LEVI WRIGHT
IDAHO FALLS, ID
NPI
1407344203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
EBER LEVI WRIGHT
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
EBER LEVI WRIGHT
5557 SW CHEROKEE ST
PALM CITY, FL 34990-5090
Phone number:
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