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Individual

ANDREA SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 W ROBBINS RD, SUITE 401, BOISE, ID 83702-4565
(208) 489-5549
Mailing address
600 W ROBBINS RD, SUITE 401, BOISE, ID 83702-4565
(208) 489-5549

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-483
ID

Other

Enumeration date
11/01/2016
Last updated
11/29/2017
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