TOM EIJI KOTO

BOISE, ID
NPI1538444211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-001)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- TOM EIJI KOTO ATC
600 N ROBBINS RD SUITE 100
BOISE, ID 83702-4565
Phone number: 208-489-4296
Mailing Address
-- TOM EIJI KOTO ATC
600 N ROBBINS RD SUITE 401
BOISE, ID 83702-4565
Phone number: 208-489-4296
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