KELLI FACUNDUS BLACK

PLAINS, MT
NPI1447861703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MT  LMT-LMT-LIC-18465)
Enumeration Date2020-08-11
Last Update Date2020-08-11
Business Address
KELLI FACUNDUS BLACK LMT
195 BOYER ST
PLAINS, MT 59859-5985
Phone number: 570-637-1122
Mailing Address
KELLI FACUNDUS BLACK LMT
45 RATTLING HORNS LN
PLAINS, MT 59859-9613
Phone number: 570-637-1122
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