NATHAN MANDIGO

BOISE, ID
NPI1053682484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MX100087)
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
Mr. NATHAN MANDIGO ABT, CMT
725 N 15TH ST
BOISE, ID 83702-4020
Phone number: 208-955-8272
Mailing Address
Mr. NATHAN MANDIGO ABT, CMT
725 N 15TH ST
BOISE, ID 83702-4020
Phone number: 208-955-8272
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