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1699250084
ROBERTA ANN GROTH
NAMPA, ID
NPI
1699250084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-1782)
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
ROBERTA ANN GROTH LMT
430 W IOWA AVE STE A
NAMPA, ID 83686-2826
Phone number: 208-870-6658
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Mailing Address
ROBERTA ANN GROTH LMT
430 W IOWA AVE STE A
NAMPA, ID 83686-2826
Phone number: 208-870-6658
Copy
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