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1669131082
ELISSA JEAN-MARIE YOUNGBLUTH
BOISE, ID
NPI
1669131082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-4223)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
ELISSA JEAN-MARIE YOUNGBLUTH L.M.T.
1915 N FARWELL LN APT 101
BOISE, ID 83713-1180
Phone number: 208-866-8757
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Mailing Address
ELISSA JEAN-MARIE YOUNGBLUTH L.M.T.
1915 N FARWELL LN APT 101
BOISE, ID 83713-1180
Phone number: 208-866-8757
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