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1063812717
SETH REDE
BOISE, ID
NPI
1063812717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-519)
Enumeration Date
2014-08-31
Last Update Date
2014-08-31
Business Address
-- SETH REDE LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1021
Phone number: 208-426-1696
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Mailing Address
-- SETH REDE LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1021
Phone number: 208-426-1696
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