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1780963108
DOUGLAS FIELD ASHTON
POCATELLO, ID
NPI
1780963108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID AT-401)
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
DOUGLAS FIELD ASHTON ATC
560 MEMORIAL DR
POCATELLO, ID 83201-4070
Phone number: 208-234-1960
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Mailing Address
DOUGLAS FIELD ASHTON ATC
560 MEMORIAL DR
POCATELLO, ID 83201-4070
Phone number:
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