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1639631633
JOSHUA WALLACE
BOZEMAN, MT
NPI
1639631633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MT lmt-lmt-lic-13720)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
JOSHUA WALLACE lmt
1001 W OAK ST BLDG. C STE. 210
BOZEMAN, MT 59715
Phone number: 406-587-8446
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Mailing Address
JOSHUA WALLACE lmt
1001 W OAK ST BLDG. C STE. 210
BOZEMAN, MT 59715
Phone number: 406-587-8446
Copy
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