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1891459228
RICHARD ONG
MOSCOW, ID
NPI
1891459228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
RICHARD ONG ATC, LAT
269 SOUTHVIEW AVE APT 2
MOSCOW, ID 83843-5072
Phone number: 909-489-1731
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Mailing Address
RICHARD ONG ATC, LAT
269 SOUTHVIEW AVE APT 2
MOSCOW, ID 83843-5072
Phone number:
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