MIMI M FOUNTAIN

DURANGO, CO
NPI1306004965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IL  441885-00)
Enumeration Date2008-05-29
Last Update Date2008-05-30
Business Address
Mrs. MIMI M FOUNTAIN NCBTMB, RN
1005 WATERFALL LN
DURANGO, CO 81301-3741
Phone number: 970-759-8872
Mailing Address
Mrs. MIMI M FOUNTAIN NCBTMB, RN
1005 WATERFALL LN
DURANGO, CO 81301-3741
Phone number: 970-759-8872
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