LUCAS BAHNMAIER

BOISE, ID
NPI1982940011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-425)
Enumeration Date2012-12-18
Last Update Date2012-12-18
Business Address
-- LUCAS BAHNMAIER MS, ATC/L, OTC
1109 W MYRTLE ST SUITE 200
BOISE, ID 83702-6970
Phone number: 208-489-4299
Mailing Address
-- LUCAS BAHNMAIER MS, ATC/L, OTC
1109 W MYRTLE ST SUITE 200
BOISE, ID 83702-6970
Phone number: 208-489-4299
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