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1790051092
ALEXANDRA ALENE FARLEY
BOISE, ID
NPI
1790051092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- ALEXANDRA ALENE FARLEY ATC
1416 N RAYMOND ST APT 101
BOISE, ID 83704-0694
Phone number: 509-994-9699
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Mailing Address
-- ALEXANDRA ALENE FARLEY ATC
1416 N RAYMOND ST APT 101
BOISE, ID 83704-0694
Phone number: 509-994-9699
Copy
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