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1558826347
GINA CELINE CORDERO
MERIDIAN, ID
NPI
1558826347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-676)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
Miss GINA CELINE CORDERO LAT, ATC
520 S EAGLE RD STE 3213
MERIDIAN, ID 83642-6356
Phone number: 208-706-2663
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Mailing Address
Miss GINA CELINE CORDERO LAT, ATC
520 S EAGLE RD STE 3213
MERIDIAN, ID 83642-6356
Phone number:
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