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1407984883
KATHERINE ANNE COBURN
BOISE, ID
NPI
1407984883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-28
Last Update Date
2010-10-03
Business Address
Ms. KATHERINE ANNE COBURN ATC, PTA, CSCS, CMT
4822 N ROSEPOINT WAY
BOISE, ID 83713-0944
Phone number: 208-941-1282
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Mailing Address
Ms. KATHERINE ANNE COBURN ATC, PTA, CSCS, CMT
410 E ROCKINGHAM DR
EAGLE, ID 83616-6918
Phone number: 208-941-1282
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