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Individual

RACHEL ERIN GEOGHEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
921 S 8TH AVE, POCATELLO, ID 83209-8173
(208) 479-9142
Mailing address
921 S 8TH AVE, POCATELLO, ID 83209-8173
(208) 479-9142

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
997
SC
2255A2300X
Athletic Trainer
Primary
AT-466
ID

Other

Enumeration date
11/23/2010
Last updated
07/02/2013
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