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1245671148
STEPHANIE MICHELLE SHORT
TAOS, NM
NPI
1245671148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 7639)
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
-- STEPHANIE MICHELLE SHORT LMT
629 A PASEO DEL PUEBLO SUR
TAOS, NM 87571
Phone number: 509-668-8393
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Mailing Address
-- STEPHANIE MICHELLE SHORT LMT
PO BOX 107
TRES PIEDRAS, NM 87577
Phone number: 509-668-8393
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TAOS THERAPEUTIC MASSAGE LLC