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1912521659
MIKA SCOTT RIVES
CLARKSTON, WA
NPI
1912521659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-28
Last Update Date
2025-01-02
Business Address
MIKA SCOTT RIVES
401 CHESTNUT ST
CLARKSTON, WA 99403-2673
Phone number: 208-503-2662
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Mailing Address
MIKA SCOTT RIVES
281 PLEASANT VALLEY RD
CLEARWATER, ID 83552-5016
Phone number: 208-503-2662
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