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1659872208
KENNETH ANDREW MCMANUS
BOISE, ID
NPI
1659872208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-2730)
Enumeration Date
2018-02-27
Last Update Date
2018-03-17
Business Address
KENNETH ANDREW MCMANUS LMT
5909 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-343-7700
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Mailing Address
KENNETH ANDREW MCMANUS LMT
11574 W AZURE DR
BOISE, ID 83713-7879
Phone number: 435-554-8093
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