NICOLE LORRAINE CLARK

BOISE, ID
NPI1538196563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-208)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
MS. NICOLE LORRAINE CLARK LAT, ATC
1010 W WASHINGTON ST
BOISE, ID 83702-5446
Phone number: 208-854-4270
Mailing Address
MS. NICOLE LORRAINE CLARK LAT, ATC
6472 W PARAPET DR
BOISE, ID 83714-8849
Phone number: 208-377-3597
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