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1871220756
LESLIE GREEN
COEUR D ALENE, ID
NPI
1871220756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-3724)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
LESLIE GREEN LMT
1104 N 4TH ST STE B
COEUR D ALENE, ID 83814-3217
Phone number: 208-292-4873
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Mailing Address
LESLIE GREEN LMT
7430 N CALAMONTE LN
COEUR D ALENE, ID 83815-8549
Phone number: 208-719-1722
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