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1417776345
DEREK WASEC ROBERTS
BOISE, ID
NPI
1417776345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-4868)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
DEREK WASEC ROBERTS LMT
3046 S BOWN WAY STE A
BOISE, ID 83706-5499
Phone number: 208-318-6561
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Mailing Address
DEREK WASEC ROBERTS LMT
217 S POWERLINE RD
NAMPA, ID 83686-5440
Phone number: 208-318-6561
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