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Individual

SANDRA SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 388-1895
Mailing address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 388-1895
(208) 388-1996

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1236
ID

Other

Enumeration date
06/13/2011
Last updated
09/30/2013
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