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1417373168
PATRICK PALKOWSKI
LEWISTON, ID
NPI
1417373168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-470)
Enumeration Date
2014-03-05
Last Update Date
2014-03-05
Business Address
-- PATRICK PALKOWSKI MS, LAT, ATC
500 8TH AVE
LEWISTON, ID 83501-2691
Phone number: 208-200-2145
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Mailing Address
-- PATRICK PALKOWSKI MS, LAT, ATC
640 SW GOLDEN HILLS DR APT D201
PULLMAN, WA 99163-6701
Phone number: 716-982-9763
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