KIP ANDREW DRIBNAK

BOISE, ID
NPI1902924723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-204)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- KIP ANDREW DRIBNAK ATC
230 W MALLARD DR STE A
BOISE, ID 83706-3995
Phone number: 208-422-9826
Mailing Address
-- KIP ANDREW DRIBNAK ATC
4207 E WISTERIA AVE
NAMPA, ID 83687-8774
Phone number: 208-461-1121
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