ERIC ANTHONY TAYLOR

BOISE, ID
NPI1013979046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-071)
Enumeration Date2006-04-05
Last Update Date2007-07-09
Business Address
Mr. ERIC ANTHONY TAYLOR ATC
12400 W MCMILLAN RD
BOISE, ID 83713-0529
Phone number: 208-340-0753
Mailing Address
Mr. ERIC ANTHONY TAYLOR ATC
12889 W GOLDENBROOK CT
BOISE, ID 83713-1444
Phone number: 208-350-9626
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