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1083260194
NATALIE ELLIS
BOISE, ID
NPI
1083260194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASA3541)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
NATALIE ELLIS LMT, PTA
1625 W STATE ST STE 100
BOISE, ID 83702-4003
Phone number: 208-336-0017
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Mailing Address
NATALIE ELLIS LMT, PTA
1401 E BLUE TICK ST
MERIDIAN, ID 83642-7474
Phone number: 208-340-3318
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