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1346715703
JESUS VARGAS
BOISE, ID
NPI
1346715703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-662)
Enumeration Date
2018-10-11
Last Update Date
2018-10-11
Business Address
JESUS VARGAS ATC, LAT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
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Mailing Address
JESUS VARGAS ATC, LAT
3416 W MEADOW DR
BOISE, ID 83706-2739
Phone number:
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