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1790802643
LORIE ANN ALLISON
BOISE, ID
NPI
1790802643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID 069)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
-- LORIE ANN ALLISON ATC, ATL
600 ROBBINS RD
BOISE, ID 83702-4539
Phone number: 208-489-4040
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Mailing Address
-- LORIE ANN ALLISON ATC, ATL
4803 W MYSTIC COVE DR
GARDEN CITY, ID 83714-4785
Phone number: 208-404-0730
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