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Individual

CANDACE L SELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 W SOUTH TEMPLE, SALT LAKE CITY, UT 84104-1007
(165) 128-3289
Mailing address
PO BOX 1165, PHILIPSBURG, MT 59858-1165
(165) 128-3289

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13815
MT

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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