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1497782015
GUY RUSSELL BOYDSTUN
LAIE, HI
NPI
1497782015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- GUY RUSSELL BOYDSTUN ATC
55-220 KULANUI ST BYUH BOX 1968
LAIE, HI 96762-1293
Phone number: 808-293-3729
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Mailing Address
-- GUY RUSSELL BOYDSTUN ATC
53-549 KAMEHAMEHA HWY. #210
HAUULA, HI 96717
Phone number: 808-293-4959
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