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1598010696
SOPHIA ROBERTA LEWIS
MISSOULA, MT
NPI
1598010696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT LMT-LMT-LIC-2532)
Enumeration Date
2012-07-16
Last Update Date
2015-05-27
Business Address
SOPHIA ROBERTA LEWIS
5000 BLUE MOUNTAIN RD
MISSOULA, MT 59804-9213
Phone number: 406-251-8200
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Mailing Address
SOPHIA ROBERTA LEWIS
5000 BLUE MOUNTAIN RD
MISSOULA, MT 59804-9213
Phone number: 406-251-8200
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