EDWARD J PRINCE

POCATELLO, ID
NPI1780456798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
EDWARD J PRINCE
541 N GARFIELD AVE APT 1
POCATELLO, ID 83204-4927
Phone number: 435-764-6678
Mailing Address
EDWARD J PRINCE
541 N GARFIELD AVE APT 1
POCATELLO, ID 83204-4927
Phone number: 435-764-6678
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