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1538752993
NOAH DORR
BOISE, ID
NPI
1538752993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160957227)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
NOAH DORR LAT, ATC
8978 W CANDLESTON LN
BOISE, ID 83709-2979
Phone number: 208-819-1011
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Mailing Address
NOAH DORR LAT, ATC
8978 W CANDLESTON LN
BOISE, ID 83709-2979
Phone number:
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