BRENT M. FAURE

POCATELLO, ID
NPI1649295825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  008)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Mr. BRENT M. FAURE MS, ATC
13279 N MOONGLOW LN
POCATELLO, ID 83202-5122
Phone number: 208-237-2971
Mailing Address
Mr. BRENT M. FAURE MS, ATC
13279 MOONGLOW
POCATELLO, ID 83202-5122
Phone number: 208-237-2971
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