BRADLEY DALE ALLISON

BOISE, ID
NPI1285993378
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-413)
Enumeration Date2012-05-09
Last Update Date2012-05-09
Business Address
-- BRADLEY DALE ALLISON LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1711
Phone number: 208-426-2305
Mailing Address
-- BRADLEY DALE ALLISON LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1711
Phone number: 208-426-2305
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