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Individual

ABIGAIL MAE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(208) 885-1022
Mailing address
505 LANGELL DR, YAKIMA, WA 98903-9516
(509) 728-1632

Taxonomy

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

Other

Enumeration date
06/01/2017
Last updated
06/01/2017
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