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1629506837
NICKOLAI MARTONICK
MOSCOW, ID
NPI
1629506837
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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
NICKOLAI MARTONICK
1021 COLT RD
MOSCOW, ID 83843-2456
Phone number: 208-596-0145
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Mailing Address
NICKOLAI MARTONICK
1021 COLT RD
MOSCOW, ID 83843-2456
Phone number:
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