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1134580962
BRITT DICKMAN
POCATELLO, ID
NPI
1134580962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-556)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- BRITT DICKMAN
13279 N MOONGLOW LN
POCATELLO, ID 83202-5122
Phone number: 208-241-2487
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Mailing Address
-- BRITT DICKMAN
855 W CLARK ST
POCATELLO, ID 83204-4160
Phone number: 406-491-1179
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