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1053726323
DEREK GENE SMITH
MISSOULA, MT
NPI
1053726323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-6151)
Enumeration Date
2014-06-25
Last Update Date
2014-06-25
Business Address
DEREK GENE SMITH LMT
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-549-9100
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Mailing Address
DEREK GENE SMITH LMT
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-549-9100
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