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Individual

SYRINGA STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1020
(208) 426-1550
Mailing address
1810 W POTTER DR, BOISE, ID 83706-3147
(208) 426-1550

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-419
ID

Other

Enumeration date
12/16/2014
Last updated
12/16/2014
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