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1942619903
KATELIN WOLLNER
BOISE, ID
NPI
1942619903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-498)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- KATELIN WOLLNER ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1020
Phone number: 951-809-1320
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Mailing Address
-- KATELIN WOLLNER ATC
4212 S FEDERAL WAY APT U102
BOISE, ID 83716-5587
Phone number:
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