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1497883581
GARY CRANER
BOISE, ID
NPI
1497883581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-006)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
GARY CRANER LAT
10360 W ALLIANCE ST
BOISE, ID 83704-3963
Phone number: 208-859-6965
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Mailing Address
GARY CRANER LAT
1910 UNIVERSITY DR MS 1020
BOISE, ID 83725-0002
Phone number: 208-426-1696
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