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1891235552
RUSSELL W FREESTONE
BOISE, ID
NPI
1891235552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG-2217)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
-- RUSSELL W FREESTONE LMT
8700 W WINCHESTER DR
BOISE, ID 83704-7069
Phone number: 208-378-1377
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Mailing Address
-- RUSSELL W FREESTONE LMT
8700 W WINCHESTER DR
BOISE, ID 83704-7069
Phone number: 208-378-1377
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