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1740944255
AMANDA M VIKDAL
LONGMONT, CO
NPI
1740944255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0024489)
Enumeration Date
2021-10-30
Last Update Date
2021-10-30
Business Address
AMANDA M VIKDAL LMT
10440 BUTTE DR
LONGMONT, CO 80504-6453
Phone number: 907-306-3433
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Mailing Address
AMANDA M VIKDAL LMT
10440 BUTTE DR
LONGMONT, CO 80504-6453
Phone number: 907-306-3433
Copy
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