ANSLEY KATHRYN SMALLEN

BOISE, ID
NPI1730598350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: ID  AT-473)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
-- ANSLEY KATHRYN SMALLEN LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 210-416-1998
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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