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1124396601
ANDREA M. ELLESTAD, LLC
MISSOULA, MT
NPI
1124396601
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Entity Type
Organization
Authorized Contact
ANDREA M. ELLESTAD
Manager
406-203-6207
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT 1098)
Enumeration Date
2011-12-12
Last Update Date
2022-08-30
Business Address
ANDREA M. ELLESTAD, LLC
2831 FORT MISSOULA RD
MISSOULA, MT 59804
Phone number: 406-203-6207
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Mailing Address
ANDREA M. ELLESTAD, LLC
PO BOX 411
LOLO, MT 59847
Phone number: 406-203-6207
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