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1922877117
KATHRYN ASHLEY DATKULIAK
LEWISTON, ID
NPI
1922877117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-5075)
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
KATHRYN ASHLEY DATKULIAK LMT
511 THAIN RD
LEWISTON, ID 83501-5530
Phone number: 208-816-9036
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Mailing Address
KATHRYN ASHLEY DATKULIAK LMT
312 17TH AVE
LEWISTON, ID 83501-2767
Phone number: 208-816-9036
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