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1417494022
JACQUELYN KOMPERUD
BOISE, ID
NPI
1417494022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-2518)
Enumeration Date
2017-01-21
Last Update Date
2017-01-21
Business Address
-- JACQUELYN KOMPERUD LMT
3858 N GARDEN CENTER WAY STE 101
BOISE, ID 83703-5008
Phone number: 208-336-0017
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Mailing Address
-- JACQUELYN KOMPERUD LMT
3858 N GARDEN CENTER WAY STE 101
BOISE, ID 83703-5008
Phone number: 208-336-0017
Copy
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