Individual
MS. LESLIE ANN MCGOWND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
480 WOLVERINE DR STE 11, BAYFIELD, CO 81122-9653
(970) 884-8501
Mailing address
PO BOX 1875, BAYFIELD, CO 81122-1875
(970) 884-8501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6331
CO
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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