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1063005072
LISA LOUISE WORTMAN
BOZEMAN, MT
NPI
1063005072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT 2960)
Enumeration Date
2021-02-19
Last Update Date
2021-12-01
Business Address
LISA LOUISE WORTMAN LMT
810 N WALLACE AVE
BOZEMAN, MT 59715-3020
Phone number: 406-920-0614
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Mailing Address
LISA LOUISE WORTMAN LMT
705 E MENDENHALL ST # A
BOZEMAN, MT 59715-3820
Phone number: 406-920-0614
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