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1992090492
KESSIE GUMMERSALL
BOISE, ID
NPI
1992090492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: ID MX110013)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- KESSIE GUMMERSALL
7447 W EMERALD ST STE 150
BOISE, ID 83704-5003
Phone number: 208-344-3744
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Mailing Address
-- KESSIE GUMMERSALL
7447 W EMERALD ST STE 150
BOISE, ID 83704-5003
Phone number: 208-344-3744
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