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1194276550
DYLAN E SCHMICK
BOISE, ID
NPI
1194276550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-546)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
Mr. DYLAN E SCHMICK MAL, LAT, ATC
1910 UNIVERSITY DRIVE
BOISE, ID 83725
Phone number: 509-953-1398
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Mailing Address
Mr. DYLAN E SCHMICK MAL, LAT, ATC
PO BOX 75
ENDICOTT, WA 99125
Phone number: 509-953-1398
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