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1720632805
LINCOLN CARTER
LEWISTON, ID
NPI
1720632805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-07-28
Last Update Date
2019-07-28
Business Address
LINCOLN CARTER
723 PRESTON AVE APT F
LEWISTON, ID 83501-4648
Phone number: 208-816-6834
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Mailing Address
LINCOLN CARTER
723 PRESTON AVE APT F
LEWISTON, ID 83501-4648
Phone number: 208-816-6834
Copy
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