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Individual

BENJAMIN ERIC MILLER CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
615 OAK ST STE 202, MISSOULA, MT 59801-2469
(406) 646-6083
Mailing address
615 OAK ST STE 202, MISSOULA, MT 59801-2469
(406) 646-6083

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-20311
MT

Other

Enumeration date
01/12/2022
Last updated
01/12/2022
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