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1902172141
TRACY ANN COLLINS
LEWISTON, ID
NPI
1902172141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-143)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- TRACY ANN COLLINS ATC, LAT
621 19TH AVE
LEWISTON, ID 83501-3893
Phone number: 208-791-8582
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Mailing Address
-- TRACY ANN COLLINS ATC, LAT
621 19TH AVE
LEWISTON, ID 83501-3893
Phone number: 208-791-8582
Copy
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