Tracie Lajuan Bollinger MASSAGE THERAPIST

NPI 1033415468 - Massage Therapist - 225700000X

NPI Details
NPI 1033415468
Gender Female
Enumeration Date 02/02/2011
Last Updated 02/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
509 BURLINGTON ST SE
MANDAN ND, 58554-4272, US
Phone (701) 224-1561
Fax (701) 223-2319
Business Location
509 BURLINGTON ST SE
MANDAN ND, 58554-4272, US
Phone (701) 224-1561
Fax (701) 223-2319
Toxanomy
Taxonomy Code 225700000X
License State North Dakota
License Number 644
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According to our database, Ms. Tracie Lajuan Bollinger MASSAGE THERAPIST NPI is 1033415468, taxonomy code is 225700000X and license number is 644, license state is located at North Dakota. Tracie Lajuan Bollinger MASSAGE THERAPIST physically located at 509 Burlington St Se, Mandan ND, 58554-4272. NPI Number Tracie Lajuan Bollinger MASSAGE THERAPIST has the Individual type.

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1033415468 NPI number is provided on an as is basis without warranty of any kind. 1033415468 is maintained by the National Plan & Provider Enumeration System. The contents of Tracie Lajuan Bollinger MASSAGE THERAPIST are for informational purposes only.