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1811335854
DEAN DAVIS
LEWISTON, ID
NPI
1811335854
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Other Name
KENNETH DEAN DAVIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID 06357783)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
MR. DEAN DAVIS
3226 8TH ST APT J
LEWISTON, ID 83501-4836
Phone number: 208-305-1964
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Mailing Address
MR. DEAN DAVIS
3226 8TH ST APT J
LEWISTON, ID 83501-4836
Phone number: 208-305-1964
Copy
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