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1295137883
JESSICA KOWALLIS
BOISE, ID
NPI
1295137883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-2110)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- JESSICA KOWALLIS
1740 N MILWAUKEE ST STE B
BOISE, ID 83704-7107
Phone number: 208-377-9500
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Mailing Address
-- JESSICA KOWALLIS
1740 N MILWAUKEE ST STE B
BOISE, ID 83704-7107
Phone number: 208-377-9500
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