LAURA MOOG

COEUR D ALENE, ID
NPI1851537484
Former NameLAURA EVENSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00020849)
Enumeration Date2009-01-03
Last Update Date2016-11-21
Business Address
-- LAURA MOOG LMT
2005 IRONWOOD PKWY STE 222
COEUR D ALENE, ID 83814-2647
Phone number: 208-691-2497
Mailing Address
-- LAURA MOOG LMT
2005 IRONWOOD PKWY STE 222
COEUR D ALENE, ID 83814-2647
Phone number: 208-691-2497
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