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1407454796
NATALIE M THERIAULT
IDAHO FALLS, ID
NPI
1407454796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: ID ACU-403)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
NATALIE M THERIAULT L.AC
864 S HOLMES
IDAHO FALLS, ID 83401
Phone number: 208-521-1616
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Mailing Address
NATALIE M THERIAULT L.AC
2031 DUCHESS CT
IDAHO FALLS, ID 83401-2242
Phone number:
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