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1477005957
MICHELLE BRANNEN
MARSING, ID
NPI
1477005957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-180)
Enumeration Date
2016-10-31
Last Update Date
2016-10-31
Business Address
-- MICHELLE BRANNEN L.M.T
7134 PROCTOR LN
MARSING, ID 83639-8210
Phone number: 208-921-5168
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Mailing Address
-- MICHELLE BRANNEN L.M.T
7134 PROCTOR LN
MARSING, ID 83639-8210
Phone number: 208-921-5168
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