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Individual

GARY CRANER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
10360 W ALLIANCE ST, BOISE, ID 83704-3963
(208) 859-6965
Mailing address
1910 UNIVERSITY DR, MS 1020, BOISE, ID 83725-0002
(208) 426-1696

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-006
ID

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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