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Individual

DINA MARIE COLOSIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1625 W STATE ST STE 100, BOISE, ID 83702-4003
(208) 336-0017
Mailing address
3356 N LAKEHARBOR LN # O-303, BOISE, ID 83703-6263

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
02/24/2019
Last updated
02/24/2019
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