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Individual

CATHERINE TISLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1910 UNIVERSITY DR, MS 1021, BOISE, ID 83725-0001
(803) 646-2011
Mailing address
1910 UNIVERSITY DR, MS 1021, BOISE, ID 83725-0001
(803) 646-2011

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-478
ID

Other

Enumeration date
08/31/2014
Last updated
08/31/2014
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