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1083015929
JULIA HASSELL
BOISE, ID
NPI
1083015929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-511)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- JULIA HASSELL ATC, OTC
1109 W MYRTLE ST SUITE 200
BOISE, ID 83702-6970
Phone number: 208-383-0201
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Mailing Address
-- JULIA HASSELL ATC, OTC
405 W VILLAGE LN
BOISE, ID 83702-6227
Phone number: 734-673-6578
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