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1194470310
MAIA ISABEL GAJATE
BOISE, ID
NPI
1194470310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-02-16
Last Update Date
2022-02-18
Business Address
MAIA ISABEL GAJATE
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 208-426-1000
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Mailing Address
MAIA ISABEL GAJATE
6875 W PREECE LN
BOISE, ID 83704-8677
Phone number: 986-837-6529
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