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1124684758
MALLORY SUE BARBER
BOISE, ID
NPI
1124684758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
MALLORY SUE BARBER ATC
12598 W MEDALIST DR
BOISE, ID 83709-6500
Phone number: 208-954-3479
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Mailing Address
MALLORY SUE BARBER ATC
12598 W MEDALIST DR
BOISE, ID 83709-6500
Phone number: 208-954-3479
Copy
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