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1851837942
KRISTA ANTRAM
BOISE, ID
NPI
1851837942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-3015)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
-- KRISTA ANTRAM Lmt
1409 W MAIN ST STE 100
BOISE, ID 83702-5201
Phone number: 208-871-8834
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Mailing Address
-- KRISTA ANTRAM Lmt
1901 TERRACE DR
CALDWELL, ID 83605-2248
Phone number: 208-871-8834
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