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Individual

JAMES FLOYD SPOONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
BOISE STATE UNIVERSITY, 1910 UNIVERSITY DR, BOISE, ID 83725-0001
(208) 426-3944
Mailing address
12522 W BOWMONT CT, BOISE, ID 83713-0023

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-402
ID

Other

Enumeration date
06/17/2006
Last updated
06/11/2012
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