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1063858686
MARC PAUL
BOISE, ID
NPI
1063858686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-328)
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
-- MARC PAUL MS, LAT/ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 208-426-1696
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Mailing Address
-- MARC PAUL MS, LAT/ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 208-426-1696
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