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1194012658
TINA MARIE SHANTELER
LONGMONT, CO
NPI
1194012658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO 7271)
Enumeration Date
2011-07-06
Last Update Date
2012-11-20
Business Address
-- TINA MARIE SHANTELER
1019 23RD AVE
LONGMONT, CO 80501
Phone number: 720-425-2192
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Mailing Address
-- TINA MARIE SHANTELER
1019 23RD AVE
LONGMONT, CO 80501-1111
Phone number: 720-425-2192
Copy
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