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1043716285
BRICE ANDERSON
POCATELLO, ID
NPI
1043716285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-657)
Enumeration Date
2018-04-05
Last Update Date
2024-09-27
Business Address
BRICE ANDERSON MSAT, LAT, ATC, CSCS
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-242-8650
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Mailing Address
BRICE ANDERSON MSAT, LAT, ATC, CSCS
1412 SARATOGA ST
POCATELLO, ID 83201-2253
Phone number: 208-242-8650
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