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1912499229
HOUSTON PEPPER
MOSCOW, ID
NPI
1912499229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
HOUSTON PEPPER
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844-9803
Phone number: 562-889-6896
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Mailing Address
HOUSTON PEPPER
6158 DUNROBIN AVE
LAKEWOOD, CA 90713-1036
Phone number:
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