CARISSA KANE

BOISE, ID
NPI1164849600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-289)
Enumeration Date2014-03-22
Last Update Date2014-03-22
Business Address
-- CARISSA KANE LAT, ATC
1010 W WASHINGTON ST
BOISE, ID 83702-5446
Phone number: 208-794-4644
Mailing Address
-- CARISSA KANE LAT, ATC
1010 W WASHINGTON ST
BOISE, ID 83702-5446
Phone number: 208-794-4644
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