OPAL GRIFFIN

BOISE, ID
NPI1164827226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-315)
Enumeration Date2014-10-30
Last Update Date2014-10-30
Business Address
-- OPAL GRIFFIN ATC
190 E. BANNOCK STREET
BOISE, ID 83712-9987
Phone number: 208-381-2222
Mailing Address
-- OPAL GRIFFIN ATC
7916 W RYGATE CT
BOISE, ID 83714-6806
Phone number: 208-850-2799
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