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1770648388
BRIAN T RUDDELL
LEWISTON, ID
NPI
1770648388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA503)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
DR. BRIAN T RUDDELL DC
1117 16TH AVENUE
LEWISTON, ID 83501
Phone number: 208-743-8401
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Mailing Address
DR. BRIAN T RUDDELL DC
1117 16TH AVENUE
LEWISTON, ID 83501
Phone number: 208-743-8401
Copy
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