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1164268348
DEDRA CLARK
BEND, OR
NPI
1164268348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27730)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
DEDRA CLARK
361 NE FRANKLIN AVE
BEND, OR 97701-4917
Phone number: 541-241-8652
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Mailing Address
DEDRA CLARK
900 NE WARNER PL APT 131
BEND, OR 97701-4684
Phone number: 541-848-3181
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