RANDY EUGENE BOSWELL

COEUR D ALENE, ID
NPI1477780179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2009-06-19
Last Update Date2009-06-19
Business Address
Mr. RANDY EUGENE BOSWELL MA, ATC, LAT
1000 W GARDEN AVE
COEUR D ALENE, ID 83814-2161
Phone number: 208-769-3217
Mailing Address
Mr. RANDY EUGENE BOSWELL MA, ATC, LAT
1000 W GARDEN AVE
COEUR D ALENE, ID 83814-2161
Phone number: 208-769-3217
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