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1720477011
AMY RADFORD
IDAHO FALLS, ID
NPI
1720477011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-877)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
Mrs. AMY RADFORD
2060 E 25TH ST
IDAHO FALLS, ID 83404-6490
Phone number: 208-821-2105
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Mailing Address
Mrs. AMY RADFORD
2060 E 25TH ST
IDAHO FALLS, ID 83404-6490
Phone number: 208-821-2105
Copy
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