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Individual provider · Athletic Trainer · Moscow, ID

NPI
1811515067
Type
Individual (Type 1)
Primary specialty
Athletic Trainer (Specialist/Technologist)
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
2255A2300X
Sex
Female
Sole proprietor
Yes
Enumerated
2020-07-13
Last updated
2020-07-13
Practice location
617 W Taylor Ave # A
Moscow, ID 83843-2411
(208) 964-5936

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