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1730598350
ANSLEY KATHRYN SMALLEN
BOISE, ID
NPI
1730598350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ID AT-473)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- ANSLEY KATHRYN SMALLEN LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 210-416-1998
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Mailing Address
-- ANSLEY KATHRYN SMALLEN LAT, ATC
4212 S FEDERAL WAY APT U102
BOISE, ID 83716-5587
Phone number: 210-416-1998
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