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1871794446
PHILIP DAVID FORD
BOISE, ID
NPI
1871794446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT527)
Enumeration Date
2007-05-30
Last Update Date
2016-04-15
Business Address
Dr. PHILIP DAVID FORD Ph.D., ATC, LAT
1910 UNIVERSITY DR
BOISE, ID 83725-1710
Phone number: 208-426-4278
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Mailing Address
Dr. PHILIP DAVID FORD Ph.D., ATC, LAT
1910 UNIVERSITY DR
BOISE, ID 83725-1710
Phone number: 208-426-4278
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