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1033640024
BETZY RUSSO
MEDFORD, OR
NPI
1033640024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13399)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- BETZY RUSSO LMT
1524 JASPER ST
MEDFORD, OR 97501-4042
Phone number: 541-951-6051
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Mailing Address
-- BETZY RUSSO LMT
1524 JASPER ST
MEDFORD, OR 97501-4042
Phone number: 541-951-6051
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