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1770141384
LINGWEN ZHANG
MOSCOW, ID
NPI
1770141384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
LINGWEN ZHANG
901 PARADISE CREEK RD
MOSCOW, ID 83843
Phone number: 541-368-8198
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Mailing Address
LINGWEN ZHANG
901 PARADISE CREEK RD
MOSCOW, ID 83843-1900
Phone number: 541-368-8198
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