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1922438027
KATHLEEN BASILE
BOISE, ID
NPI
1922438027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MASG1678)
Enumeration Date
2013-11-26
Last Update Date
2013-11-26
Business Address
-- KATHLEEN BASILE
9518 W FAIRVIEW AVE
BOISE, ID 83704-8103
Phone number: 208-376-4571
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Mailing Address
-- KATHLEEN BASILE
1326 S LATAH ST
BOISE, ID 83705-2999
Phone number: 325-762-0925
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