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Individual

CY LYNN GARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS.

Contact information

Practice address
825 S WASHINGTON AVE, EMMETT, ID 83617-3528
(208) 365-4400
(208) 365-4384
Mailing address
11485 W TEMPE LN, STAR, ID 83669-5093
(208) 484-0805

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-267
ID

Other

Enumeration date
12/19/2005
Last updated
07/08/2007
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