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1740620830
EUGENE STATELEN
MISSOULA, MT
NPI
1740620830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MT 590)
Enumeration Date
2013-07-03
Last Update Date
2013-08-28
Business Address
-- EUGENE STATELEN Licensed Massage The
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-370-4474
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Mailing Address
-- EUGENE STATELEN Licensed Massage The
2798 RICH CT
MISSOULA, MT 59804-7125
Phone number: 406-370-4474
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