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Individual

MRS. ELIZABETH A COPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
30410 HIGHWAY 200 STE 100, PONDERAY, ID 83852-9601
(208) 263-3211
Mailing address
42459 HIGHWAY 200 # 13, HOPE, ID 83836-9784
(352) 601-7343

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3793
ID

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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