SYRINGA STARK

BOISE, ID
NPI1962800425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-419)
Enumeration Date2014-12-16
Last Update Date2014-12-16
Business Address
-- SYRINGA STARK ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1020
Phone number: 208-426-1550
Mailing Address
-- SYRINGA STARK ATC
1810 W POTTER DR
BOISE, ID 83706-3147
Phone number: 208-426-1550
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