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Individual

MRS. JENNIFER DIANE CUNDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
615 OAK ST STE 101, MISSOULA, MT 59801-2469
(406) 570-8175
Mailing address
1726 S 11TH ST W, MISSOULA, MT 59801-4836
(406) 570-8175

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
357
MT

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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