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1366791980
JERUSHA BAKER
MISSOULA, MT
NPI
1366791980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-2009)
Enumeration Date
2012-08-29
Last Update Date
2016-08-19
Business Address
JERUSHA BAKER LMT
2825 STOCKYARD RD UNIT H3
MISSOULA, MT 59808-1503
Phone number: 406-543-1625
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Mailing Address
JERUSHA BAKER LMT
PO BOX 738
STEVENSVILLE, MT 59870-6104
Phone number: 406-370-4195
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