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Individual

NATHAN STURLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
520 S EAGLE RD, SPORTS MEDICINE, MERIDIAN, ID 83642-6351
(208) 867-5630
Mailing address
5393 W ROSSLARE DR, EAGLE, ID 83616-6252

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-577
ID

Other

Enumeration date
10/27/2016
Last updated
10/27/2016
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