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1588192793
MITCHELL MCTIER
MOSCOW, ID
NPI
1588192793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
MITCHELL MCTIER
1106 S BLAKE AVE
MOSCOW, ID 83843-4117
Phone number: 208-885-6111
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Mailing Address
MITCHELL MCTIER
113 LAKE SHORE DR
NEWNAN, GA 30265-5591
Phone number: 770-337-3607
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