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1467803957
BRENNA ELIZABETH SWEENEY
BOISE, ID
NPI
1467803957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-578)
Enumeration Date
2016-06-25
Last Update Date
2016-06-25
Business Address
-- BRENNA ELIZABETH SWEENEY ATC, LAT
6052 W STATE ST
BOISE, ID 83703-2739
Phone number: 208-344-7799
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Mailing Address
-- BRENNA ELIZABETH SWEENEY ATC, LAT
6052 W STATE ST
BOISE, ID 83703-2739
Phone number: 208-344-7799
Copy
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