ALAN BLAKE SHAW

BOISE, ID
NPI1689981623
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: ID  ACU-212)
Enumeration Date2010-09-13
Last Update Date2010-09-13
Business Address
ALAN BLAKE SHAW L.AC.
1412 COLUMBUS ST
BOISE, ID 83705-2507
Phone number: 208-284-0313
Mailing Address
ALAN BLAKE SHAW L.AC.
1412 COLUMBUS ST
BOISE, ID 83705-2507
Phone number: 208-284-0313
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