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Student, Health Care at Polk Ext, Moscow, ID

License number
Idaho IR60299061
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address
1551 N Polk Ext APT 3, Moscow, ID 83843
Phone
(509) 760-1322
National Provider ID: 1467829283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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