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1356172712
KAT WARNECKE
MOSCOW, ID
NPI
1356172712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-917)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
KAT WARNECKE MAT, LAT, ATC
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-577-0130
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Mailing Address
KAT WARNECKE MAT, LAT, ATC
304 VICTORIA DR
MOSCOW, ID 83843-5041
Phone number: 208-577-0130
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