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1508393380
SHANNAW DALE MARTIN
WESTMINSTER, CO
NPI
1508393380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0003584)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- SHANNAW DALE MARTIN LMT
8093 RALEIGH ST
WESTMINSTER, CO 80031-4313
Phone number: 720-448-8585
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Mailing Address
-- SHANNAW DALE MARTIN LMT
PO BOX 362
DUPONT, CO 80024-0362
Phone number: 720-448-8585
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