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1154459014
JANE M SHIMON
BOISE, ID
NPI
1154459014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Ms. JANE M SHIMON Ed.D., A.T.C.
1910 UNIVERSITY DR BOISE STATE UNIVERSITY
BOISE, ID 83725-0002
Phone number: 208-426-1531
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Mailing Address
Ms. JANE M SHIMON Ed.D., A.T.C.
3693 VINTAGE WAY
BOISE, ID 83706-5448
Phone number: 208-426-1531
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