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Individual

BRITT DICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13279 N MOONGLOW LN, POCATELLO, ID 83202-5122
(208) 241-2487
Mailing address
855 W CLARK ST, POCATELLO, ID 83204-4160
(406) 491-1179

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-556
ID

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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