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1063612612
KELLY SKOVLIN
LA GRANDE, OR
NPI
1063612612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14065)
Enumeration Date
2007-07-23
Last Update Date
2009-12-10
Business Address
Ms. KELLY SKOVLIN LMT
1617 4TH ST
LA GRANDE, OR 97850-2505
Phone number: 541-786-3707
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Mailing Address
Ms. KELLY SKOVLIN LMT
1617 4TH STREET
LA GRANDE, OR 97850-0000
Phone number: 541-786-3707
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