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Individual

MISS MARYIA LINDSAY ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1341 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 528-6010
Mailing address
204 E 97TH N, IDAHO FALLS, ID 83401-5422

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary

Other

Enumeration date
01/15/2013
Last updated
01/15/2013
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