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1114449741
LISE TAKASHINA
COEUR D ALENE, ID
NPI
1114449741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: ID ACU-336)
Enumeration Date
2017-07-14
Last Update Date
2018-06-16
Business Address
LISE TAKASHINA L.Ac.
302 N 5TH ST
COEUR D ALENE, ID 83814-2814
Phone number: 831-332-0587
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Mailing Address
LISE TAKASHINA L.Ac.
PO BOX 1724
COEUR D ALENE, ID 83816-1724
Phone number: 208-292-4829
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