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Individual

JUSTIN BOSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCSI, LMT

Contact information

Practice address
1000 COUNTRY LN STE 400, ISHPEMING, MI 49849-3410
(906) 486-2000
Mailing address
7275 COUNTY ROAD 550, MARQUETTE, MI 49855-9766
(906) 362-3878

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014794
MI

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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