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1801040191
SANDRA LOUISE POWELL
CALDWELL, ID
NPI
1801040191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
Ms. SANDRA LOUISE POWELL CMT
704 BLAINE ST STE 3
CALDWELL, ID 83605-3731
Phone number: 208-283-6070
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Mailing Address
Ms. SANDRA LOUISE POWELL CMT
704 BLAINE ST STE 3
CALDWELL, ID 83605-3731
Phone number: 208-283-6070
Copy