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1013538875
ELIZABETH BASTIDAS
MEDFORD, OR
NPI
1013538875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25272)
Enumeration Date
2020-05-04
Last Update Date
2020-05-05
Business Address
ELIZABETH BASTIDAS LMT
1345 CENTER DR STE 100
MEDFORD, OR 97501-7945
Phone number: 541-210-5674
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Mailing Address
ELIZABETH BASTIDAS LMT
1345 CENTER DR STE 100
MEDFORD, OR 97501-7945
Phone number: 541-210-5674
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