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1538359815
KORENE D MAYO
BOISE, ID
NPI
1538359815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID A-025)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
-- KORENE D MAYO ATC, LAT
1188 UNIVERSITY DR
BOISE, ID 83706-3009
Phone number: 208-336-8250
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Mailing Address
-- KORENE D MAYO ATC, LAT
1188 UNIVERSITY DR
BOISE, ID 83706-3009
Phone number: 208-336-8250
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