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Individual

MS. BARBARA A PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
426 MAIN ST., SW, RONAN, MT 59864-2709
(406) 544-3987
Mailing address
426 MAIN ST SW, RONAN, MT 59864-2709
(406) 544-3987

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
225700000X
MT
171W00000X
Contractor
Primary
600
MT

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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