BRANDON BLACKA

SPANISH FORK, UT
NPI1992216105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: UT  9353585-4701)
Enumeration Date2017-10-14
Last Update Date2017-10-14
Business Address
BRANDON BLACKA MHT
800 N 100 E
SPANISH FORK, UT 84660-5577
Phone number: 801-504-6125
Mailing Address
BRANDON BLACKA MHT
800 N 100 E
SPANISH FORK, UT 84660-5577
Phone number: 801-504-6125
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