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1023489218
DENEB EDWARDS
BURLEY, ID
NPI
1023489218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-1932)
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
-- DENEB EDWARDS M.T.
1315 OAKLEY AVE
BURLEY, ID 83318-1833
Phone number: 208-244-2585
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Mailing Address
-- DENEB EDWARDS M.T.
621 DOGGETT DR
HEYBURN, ID 83336-9639
Phone number: 208-244-2585
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