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1285201806
MIESHA DAWN WATKINS
BOISE, ID
NPI
1285201806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-3735)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
MIESHA DAWN WATKINS LMT, NMT
1390 S MAPLE GROVE RD STE 200
BOISE, ID 83709-1610
Phone number: 208-672-0100
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Mailing Address
MIESHA DAWN WATKINS LMT, NMT
2810 S ROOSEVELT ST
BOISE, ID 83705-4559
Phone number: 208-991-7560
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