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1013799774
ALAN MARK NASYPANY
MOSCOW, ID
NPI
1013799774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT307)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
DR. ALAN MARK NASYPANY
875 PERIMETER DR DEPT OF
MOSCOW, ID 83844-9803
Phone number: 208-885-2185
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Mailing Address
DR. ALAN MARK NASYPANY
1215 TAMARACK DR
MOSCOW, ID 83843-9438
Phone number: 208-885-2185
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