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1083487565
VIVIANA BAEZA NUNEZ
BOISE, ID
NPI
1083487565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-4730)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
VIVIANA BAEZA NUNEZ
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-706-5287
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Mailing Address
VIVIANA BAEZA NUNEZ
600 N SCOTNEY AVE
MERIDIAN, ID 83642-7815
Phone number:
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