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1730807348
MARISSA DURHAM
LONGMONT, CO
NPI
1730807348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0024897)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
MARISSA DURHAM LMT
1900 KEN PRATT BLVD APT 2212
LONGMONT, CO 80501-6993
Phone number: 714-905-6159
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Mailing Address
MARISSA DURHAM LMT
1900 KEN PRATT BLVD APT 2212
LONGMONT, CO 80501-6993
Phone number: 714-905-6159
Copy
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