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1992717805
JACQUELINE M WILLIAMS
MOSCOW, ID
NPI
1992717805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-106)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Miss JACQUELINE M WILLIAMS MS, LAT, ATC
UNIVERSITY OF IDAHO DEPT. OF HPERD PEB 100
MOSCOW, ID 83844-2401
Phone number: 208-885-2185
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Mailing Address
Miss JACQUELINE M WILLIAMS MS, LAT, ATC
927 VANDAL DR
MOSCOW, ID 83843-9229
Phone number: 208-882-7140
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