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Individual

SOLEDAD BANDILLA THORNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
550 W HIGHWAY 105 STE 100, MONUMENT, CO 80132-9119
(719) 661-6336
Mailing address
550 W HIGHWAY 105 STE 100, MONUMENT, CO 80132-9119
(719) 661-6336

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021261
CO

Other

Enumeration date
01/01/2021
Last updated
01/01/2021
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