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1023376019
MELISSA GRUNDVIG
KAYSVILLE, UT
NPI
1023376019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 6588630-4701)
Enumeration Date
2012-04-26
Last Update Date
2012-04-26
Business Address
-- MELISSA GRUNDVIG LMT
699 S ANGEL ST
KAYSVILLE, UT 84037-9756
Phone number: 801-444-1298
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Mailing Address
-- MELISSA GRUNDVIG LMT
699 S ANGEL ST
KAYSVILLE, UT 84037-9756
Phone number: 801-444-1298
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