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1013432715
STEPHANIE ROSEANNA BOOKER
MEDFORD, OR
NPI
1013432715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 023530)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
STEPHANIE ROSEANNA BOOKER LMT
4201 FALCON RIDGE TER
MEDFORD, OR 97504-9140
Phone number: 541-778-5314
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Mailing Address
STEPHANIE ROSEANNA BOOKER LMT
4201 FALCON RIDGE TER
MEDFORD, OR 97504-9140
Phone number:
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