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1164757613
REBECCA MARIE GOODRICH
MOSCOW, ID
NPI
1164757613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60098139)
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
MS. REBECCA MARIE GOODRICH LMP, NCTMB
700 S MAIN ST GRITMAN MEDICAL CENTER
MOSCOW, ID 83843-3056
Phone number: 208-883-6361
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Mailing Address
MS. REBECCA MARIE GOODRICH LMP, NCTMB
PO BOX 3162
MOSCOW, ID 83843-1907
Phone number: 208-310-9375
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