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1396082418
HENRY MOON CLOUD
MISSOULA, MT
NPI
1396082418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2013-01-09
Last Update Date
2013-01-09
Business Address
MR. HENRY MOON CLOUD L.M.T.
2204 DIXON AVE
MISSOULA, MT 59801-8224
Phone number: 406-239-4817
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Mailing Address
MR. HENRY MOON CLOUD L.M.T.
1701 MIDDLE BURNT FORK RD
STEVENSVILLE, MT 59870-6649
Phone number: 406-239-4817
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