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1740912369
BLADIMIR MARTE
PROVO, UT
NPI
1740912369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 11343515-4701)
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
BLADIMIR MARTE massage therapy
1849 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-960-8789
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Mailing Address
BLADIMIR MARTE massage therapy
124 W 1435 S
OREM, UT 84058-7467
Phone number: 908-838-2092
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