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Individual

NOAH ZIEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(509) 270-1400
Mailing address
875 PERIMETER DR, MOSCOW, ID 83844-9803

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
PR-026
ID

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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