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1750314258
CAROLINE E FAURE
POCATELLO, ID
NPI
1750314258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-200)
Enumeration Date
2006-07-08
Last Update Date
2007-07-08
Business Address
Dr. CAROLINE E FAURE Ed.D.; ATC
13279 N MOONGLOW LN
POCATELLO, ID 83202-5122
Phone number: 208-237-2971
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Mailing Address
Dr. CAROLINE E FAURE Ed.D.; ATC
13279 N MOONGLOW LN
POCATELLO, ID 83202-5122
Phone number: 208-237-2971
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