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1104303916
SUSAN JOHANNA BOUMAN
ASHLAND, OR
NPI
1104303916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 3265)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
SUSAN JOHANNA BOUMAN LMT
550 SISKIYOU BLVD
ASHLAND, OR 97520-2138
Phone number: 541-488-6757
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Mailing Address
SUSAN JOHANNA BOUMAN LMT
550 SISKIYOU BLVD
ASHLAND, OR 97520-2138
Phone number: 541-488-6757
Copy
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