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1104219252
JOHNNY YBANEZ
COEUR D ALENE, ID
NPI
1104219252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-3734)
Enumeration Date
2015-03-13
Last Update Date
2023-10-25
Business Address
JOHNNY YBANEZ LMP
320 E NEIDER AVE STE 105
COEUR D ALENE, ID 83815-6007
Phone number: 208-930-4944
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Mailing Address
JOHNNY YBANEZ LMP
320 E NEIDER AVE STE 105
COEUR D ALENE, ID 83815-6007
Phone number: 208-930-4944
Copy
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