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1902196595
KELLY GRACE
COEUR D ALENE, ID
NPI
1902196595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID 602786-11)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- KELLY GRACE LMP
850 W IRONWOOD DR 302
COEUR D ALENE, ID 83814-4903
Phone number: 208-664-5225
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Mailing Address
-- KELLY GRACE LMP
850 W IRONWOOD DR 302
COEUR D ALENE, ID 83814-4903
Phone number: 208-664-5225
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