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Individual

ANTOINETTE SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
1113 STONEY HILL DRIVE, SUITE 2B, FORT COLLINS, CO 80524
(970) 388-2205
Mailing address
1113 STONEY HILL DRIVE, SUITE 2B, FORT COLLINS, CO 80524
(970) 388-2205

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0011617
CO

Other

Enumeration date
01/23/2015
Last updated
01/23/2015
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