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1538673918
CLARISSA ALEXANDER
POCATELLO, ID
NPI
1538673918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID 551)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
CLARISSA ALEXANDER ATC
331 LA VALLE STRADA
POCATELLO, ID 83201-5822
Phone number: 208-921-1916
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Mailing Address
CLARISSA ALEXANDER ATC
331 LA VALLE STRADA
POCATELLO, ID 83201-5822
Phone number: 208-921-1916
Copy
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