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1053749911
BLAKE KNIGHT
MEDFORD, OR
NPI
1053749911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20099)
Enumeration Date
2013-10-30
Last Update Date
2021-08-20
Business Address
BLAKE KNIGHT LMT
820 CRATER LAKE AVE SUITE 113
MEDFORD, OR 97504-6581
Phone number: 541-770-1606
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Mailing Address
BLAKE KNIGHT LMT
820 CRATER LAKE AVE SUITE 113
MEDFORD, OR 97504-6581
Phone number: 541-770-1606
Copy
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