SHELDON SKYLER BURGESS

BOISE, ID
NPI1811545684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-696)
Enumeration Date2019-08-26
Last Update Date2019-08-26
Business Address
SHELDON SKYLER BURGESS ATC, LAT, CSMS-1
6165 W EMERALD ST
BOISE, ID 83704-8613
Phone number: 208-302-3500
Mailing Address
SHELDON SKYLER BURGESS ATC, LAT, CSMS-1
6325 S ROCKROSE WAY
BOISE, ID 83716-7133
Phone number: 208-761-5396
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