MEGAN RENAE SHIFFLETT

MOSCOW, ID
NPI1700284262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-348)
Enumeration Date2014-12-16
Last Update Date2014-12-16
Business Address
Miss MEGAN RENAE SHIFFLETT ATC
875 PERIMETER DR # MS 2302
MOSCOW, ID 83844-2302
Phone number: 208-885-0256
Mailing Address
Miss MEGAN RENAE SHIFFLETT ATC
875 PERIMETER DR # MS 2302
MOSCOW, ID 83844-2302
Phone number: 208-885-0256
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