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1881135259
MEGAN RUSSELL
NAMPA, ID
NPI
1881135259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-230)
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
-- MEGAN RUSSELL
430 W IOWA AVE STE A
NAMPA, ID 83686-2826
Phone number: 208-442-1123
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Mailing Address
-- MEGAN RUSSELL
430 W IOWA AVE STE A
NAMPA, ID 83686-2826
Phone number:
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