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1710698212
TARA SURPRENANT
HAYDEN, ID
NPI
1710698212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS4938)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
TARA SURPRENANT LMT
2151 W HAYDEN AVE
HAYDEN, ID 83835-7414
Phone number: 208-762-6772
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Mailing Address
TARA SURPRENANT LMT
2151 W HAYDEN AVE
HAYDEN, ID 83835-7414
Phone number: 208-762-6772
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