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1063842888
RAELENE ANN BISHOP
IDAHO FALLS, ID
NPI
1063842888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-1672)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
Ms. RAELENE ANN BISHOP LMT
671 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5596
Phone number: 208-552-2584
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Mailing Address
Ms. RAELENE ANN BISHOP LMT
671 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5596
Phone number: 208-552-2584
Copy
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