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1598376097
JUSTIN TEAGUE ODELL
HAYDEN, ID
NPI
1598376097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-2891)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
JUSTIN TEAGUE ODELL LMT
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835-9645
Phone number: 208-696-1330
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Mailing Address
JUSTIN TEAGUE ODELL LMT
9751 N GOVERNMENT WAY STE 4
HAYDEN, ID 83835-9645
Phone number: 208-696-1330
Copy
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