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Individual

JESUS COHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
7149 W EMERALD ST, BOISE, ID 83704-8620
(208) 606-1801
Mailing address
8466 W GECKO CT, BOISE, ID 83704-5600
(208) 606-1801

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4388
ID

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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