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Individual

MICHAEL BURRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNMT

Contact information

Practice address
1332 LINDEN ST, SUITE 3, LONGMONT, CO 80501-3257
(303) 596-3277
Mailing address
1332 LINDEN ST, SUITE 3, LONGMONT, CO 80501-3257
(303) 596-3277

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0013904
CO

Other

Enumeration date
01/23/2013
Last updated
01/23/2013
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