GREGORY D MITCHELL

BOISE, ID
NPI1871520585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-103)
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
-- GREGORY D MITCHELL M.A, L.A.T., A.T.C.
9732 W WICHITA ST
BOISE, ID 83709-8248
Phone number: 208-409-1857
Mailing Address
-- GREGORY D MITCHELL M.A, L.A.T., A.T.C.
9732 W WICHITA ST
BOISE, ID 83709-8248
Phone number: 208-409-1857
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