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1720493653
MALISA LANDALUCE
MERIDIAN, ID
NPI
1720493653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID 1052)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
MALISA LANDALUCE LMT
841 E FAIRVIEW AVE SUITE 100
MERIDIAN, ID 83642-9286
Phone number: 208-283-7368
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Mailing Address
MALISA LANDALUCE LMT
2271 NW 11TH AVE
MERIDIAN, ID 83646-1479
Phone number: 208-283-7368
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