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1952789026
MIRANDA MCBROOM
BOISE, ID
NPI
1952789026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MAS-2393)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
Miss MIRANDA MCBROOM
1150 W STATE ST 220
BOISE, ID 83702-5327
Phone number: 541-519-7478
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Mailing Address
Miss MIRANDA MCBROOM
1809 W MALAD LN
BOISE, ID 83705-4479
Phone number: 541-519-7478
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