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1639889371
ERICA POWELL
POCATELLO, ID
NPI
1639889371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-4820)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
ERICA POWELL
2215 ELMORE ST
POCATELLO, ID 83201-7021
Phone number: 406-850-8975
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Mailing Address
ERICA POWELL
2215 ELMORE ST
POCATELLO, ID 83201-7021
Phone number: 406-850-8975
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