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1609304823
DARREN FISCUS
MOSCOW, ID
NPI
1609304823
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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
DARREN FISCUS CSCS
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 888-884-3246
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Mailing Address
DARREN FISCUS CSCS
248 N ASBURY ST APT 3
MOSCOW, ID 83843-2283
Phone number: 307-343-6476
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