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1245332790
DEBBY CARSCALLEN
MOSCOW, ID
NPI
1245332790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-089)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
-- DEBBY CARSCALLEN ATC
1410 E D ST
MOSCOW, ID 83843-3642
Phone number: 208-892-1180
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Mailing Address
-- DEBBY CARSCALLEN ATC
318 S CLEVELAND ST
MOSCOW, ID 83843-3768
Phone number:
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