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1346756020
CASEY JAKE DIGRE
HAYDEN, ID
NPI
1346756020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID 1499)
Enumeration Date
2017-12-18
Last Update Date
2018-03-17
Business Address
CASEY JAKE DIGRE LMT
8109 N WAYNE BLVD
HAYDEN, ID 83835-5031
Phone number: 208-667-7463
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Mailing Address
CASEY JAKE DIGRE LMT
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835-9645
Phone number: 208-651-8536
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