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1801162193
KATHRYN GAIL HARBACHECK
BOISE, ID
NPI
1801162193
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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
-- KATHRYN GAIL HARBACHECK ATC
7009 W FRANKLIN RD
BOISE, ID 83709-0922
Phone number: 208-375-6010
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Mailing Address
-- KATHRYN GAIL HARBACHECK ATC
7312 CHILACOT DR
BOISE, ID 83709-6006
Phone number: 208-863-9991
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