ALEXANDRA LONG

BOISE, ID
NPI1346765047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  2000020432)
Enumeration Date2017-08-03
Last Update Date2017-08-03
Business Address
ALEXANDRA LONG ATC
1010 W WASHINGTON ST
BOISE, ID 83702-5446
Phone number: 208-854-4270
Mailing Address
ALEXANDRA LONG ATC
628 WINTER PL
NAMPA, ID 83686-2988
Phone number:
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