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1811515067
LEXIS FOUTS
MOSCOW, ID
NPI
1811515067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
LEXIS FOUTS
617 W TAYLOR AVE # A
MOSCOW, ID 83843-2411
Phone number: 208-964-5936
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Mailing Address
LEXIS FOUTS
617 W TAYLOR AVE # A
MOSCOW, ID 83843-2411
Phone number: 208-964-5936
Copy
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