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1083953731
KELLY ROY WOODKE
EUGENE, OR
NPI
1083953731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12029)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
-- KELLY ROY WOODKE Mr
515 KOURT DR
EUGENE, OR 97404-2278
Phone number: 541-232-0146
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Mailing Address
-- KELLY ROY WOODKE Mr
515 KOURT DR
EUGENE, OR 97404-2278
Phone number: 541-232-0146
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