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1851537484
LAURA MOOG
COEUR D ALENE, ID
NPI
1851537484
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Former Name
LAURA EVENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020849)
Enumeration Date
2009-01-03
Last Update Date
2016-11-21
Business Address
-- LAURA MOOG LMT
2005 IRONWOOD PKWY STE 222
COEUR D ALENE, ID 83814-2647
Phone number: 208-691-2497
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Mailing Address
-- LAURA MOOG LMT
2005 IRONWOOD PKWY STE 222
COEUR D ALENE, ID 83814-2647
Phone number: 208-691-2497
Copy
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