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1033986054
MELANIE BLACKBURN
POCATELLO, ID
NPI
1033986054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
MELANIE BLACKBURN
1800 FLANDRO DR
POCATELLO, ID 83202-4912
Phone number: 208-233-2248
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Mailing Address
MELANIE BLACKBURN
1591 ZENER ST APT C6
POCATELLO, ID 83201-6072
Phone number: 208-243-7881
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