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1669964979
TENLI BRIGHT
MOSCOW, ID
NPI
1669964979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
TENLI BRIGHT
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844-9803
Phone number: 208-308-5517
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Mailing Address
TENLI BRIGHT
1412 W A ST APT 111
MOSCOW, ID 83843-3288
Phone number: 208-308-5517
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