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Organization

SHARED SUMMIT HEALTH LLC

Active
Other names
Your Health Matters
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAIL SUZANNE LONGENECKER DIP LCM (OWNER / OPERATOR)
(303) 774-9155
Entity
Organization

Contact information

Practice address
2362 EAGLEVIEW CIR, LONGMONT, CO 80504-7797
(303) 774-9155
(303) 997-1811
Mailing address
2362 EAGLEVIEW CIR, LONGMONT, CO 80504-7797
(303) 774-9155
(303) 997-1811

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3184
CO

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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