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1396413464
BURGUNDIE MICELI
MISSOULA, MT
NPI
1396413464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-20146)
Enumeration Date
2021-09-02
Last Update Date
2021-09-29
Business Address
BURGUNDIE MICELI LMT
725 W ALDER ST STE 3
MISSOULA, MT 59802-4094
Phone number: 406-298-4969
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Mailing Address
BURGUNDIE MICELI LMT
309 WESTVIEW DR
MISSOULA, MT 59803-1527
Phone number: 406-298-4969
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