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1205501079
TARA SISTRUNK
POST FALLS, ID
NPI
1205501079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-4445)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
TARA SISTRUNK LMT
3900 E 16TH AVE
POST FALLS, ID 83854-8925
Phone number: 208-996-1177
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Mailing Address
TARA SISTRUNK LMT
3900 E 16TH AVE
POST FALLS, ID 83854-8925
Phone number: 208-996-1177
Copy
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