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Individual

MRS. MARY H BASHKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.M.T.

Contact information

Practice address
315 CANYON AVE, SUITE A, FORT COLLINS, CO 80521-2677
(970) 391-7491
Mailing address
PO BOX 2261, FORT COLLINS, CO 80522-2261
(970) 391-7491

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
909
CO

Other

Enumeration date
03/06/2010
Last updated
03/09/2010
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