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1497386841
SHAYLA DIANE FOSTER
MERIDIAN, ID
NPI
1497386841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2083S0010X Preventive Medicine, Sports Medicine
(Licence: ID AT-588)
Enumeration Date
2020-02-03
Last Update Date
2020-02-03
Business Address
SHAYLA DIANE FOSTER MS, LAT, ATC
2000 S MILLENIUM WAY
MERIDIAN, ID 83642-1551
Phone number: 303-319-3004
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Mailing Address
SHAYLA DIANE FOSTER MS, LAT, ATC
7529 W MIDDLE FORK ST
BOISE, ID 83709-6090
Phone number: 303-319-3004
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