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1508413220
HILARY WORTHEN
POCATELLO, ID
NPI
1508413220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-680)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
HILARY WORTHEN LAT, ATC
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-680-4407
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Mailing Address
HILARY WORTHEN LAT, ATC
1158 S SHILLING AVE
BLACKFOOT, ID 83221-3118
Phone number: 208-680-4407
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