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1376893545
KATIE M BALLWEBER
MISSOULA, MT
NPI
1376893545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-2386)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- KATIE M BALLWEBER LCMT
2015 BURLINGTON AVE
MISSOULA, MT 59801-5425
Phone number: 406-546-7762
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Mailing Address
-- KATIE M BALLWEBER LCMT
2015 BURLINGTON AVE
MISSOULA, MT 59801-5425
Phone number: 406-546-7762
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