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1063877694
MICHELLE FENN
BOISE, ID
NPI
1063877694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-2422)
Enumeration Date
2015-12-26
Last Update Date
2015-12-26
Business Address
-- MICHELLE FENN M.Ed, LMT, MLDI
12071 W FLORIDA DR
BOISE, ID 83709-1157
Phone number: 208-757-2273
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Mailing Address
-- MICHELLE FENN M.Ed, LMT, MLDI
PO BOX 191072
BOISE, ID 83719-1072
Phone number: 208-757-2273
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