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1700112448
LISA STUBAN
POCATELLO, ID
NPI
1700112448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID BL7614)
Enumeration Date
2009-10-31
Last Update Date
2009-10-31
Business Address
Ms. LISA STUBAN massage therapist
2688 HILLVIEW DR
POCATELLO, ID 83201-2503
Phone number: 208-244-5658
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Mailing Address
Ms. LISA STUBAN massage therapist
2688 HILLVIEW DR
POCATELLO, ID 83201-2503
Phone number: 208-244-5658
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