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1780456798
EDWARD J PRINCE
POCATELLO, ID
NPI
1780456798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2023-10-23
Last Update Date
2024-06-14
Business Address
EDWARD J PRINCE
541 N GARFIELD AVE APT 1
POCATELLO, ID 83204-4927
Phone number: 435-764-6678
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Mailing Address
EDWARD J PRINCE
541 N GARFIELD AVE APT 1
POCATELLO, ID 83204-4927
Phone number: 435-764-6678
Copy
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