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Individual

SHANNA SUZANNE STAPLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3333 IRIS AVE STE 207, BOULDER, CO 80301-1998
(303) 807-9973
Mailing address
1715 15TH ST APT 2, BOULDER, CO 80302-6348
(303) 807-9973

Taxonomy

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

Other

Enumeration date
03/02/2020
Last updated
03/02/2020
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