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1962800425
SYRINGA STARK
BOISE, ID
NPI
1962800425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-419)
Enumeration Date
2014-12-16
Last Update Date
2014-12-16
Business Address
-- SYRINGA STARK ATC
1910 UNIVERSITY DR
BOISE, ID 83725-1020
Phone number: 208-426-1550
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Mailing Address
-- SYRINGA STARK ATC
1810 W POTTER DR
BOISE, ID 83706-3147
Phone number: 208-426-1550
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