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1013579127
MICHAEL JOHN NELSON
WHITEFISH, MT
NPI
1013579127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-15833)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
MICHAEL JOHN NELSON LMT
505 SPOKANE AVE
WHITEFISH, MT 59937-2780
Phone number: 406-862-1071
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Mailing Address
MICHAEL JOHN NELSON LMT
505 SPOKANE AVE
WHITEFISH, MT 59937-2780
Phone number:
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