BRIAN LEE BLANCK

BOULDER, CO
NPI1114278314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CO  0005970)
Enumeration Date2012-09-27
Last Update Date2012-09-27
Business Address
-- BRIAN LEE BLANCK
1800 30TH ST STE 215
BOULDER, CO 80301-1088
Phone number: 303-444-1171
Mailing Address
-- BRIAN LEE BLANCK
1800 30TH ST STE 215
BOULDER, CO 80301-1088
Phone number: 303-444-1171
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