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1669862884
AVERY BRIANNE CARLSON
NAMPA, ID
NPI
1669862884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-531)
Enumeration Date
2015-01-26
Last Update Date
2015-01-26
Business Address
AVERY BRIANNE CARLSON ATC, LAT
36 5TH ST N
NAMPA, ID 83687-3482
Phone number: 605-880-8886
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Mailing Address
AVERY BRIANNE CARLSON ATC, LAT
36 5TH ST N
NAMPA, ID 83687-3482
Phone number: 605-880-8886
Copy
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