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1538651732
LILLIAN DETTMAN-RABLEE
MOSCOW, ID
NPI
1538651732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-04
Last Update Date
2020-07-14
Business Address
LILLIAN DETTMAN-RABLEE ATC
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 985-438-1647
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Mailing Address
LILLIAN DETTMAN-RABLEE ATC
901 W PARADISE CREEK ST
MOSCOW, ID 83843
Phone number:
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