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1730217225
LINDA I GIBBENS
CALDWELL, ID
NPI
1730217225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID 2255A2300X)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
LINDA I GIBBENS ATC, LAT
2112 CLEVELAND BLVD
CALDWELL, ID 83605-4432
Phone number: 208-459-5873
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Mailing Address
LINDA I GIBBENS ATC, LAT
902 LINFIELD PL
CALDWELL, ID 83605-5197
Phone number: 208-454-8001
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