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1194002923
DANIELA RICO
MEDFORD, OR
NPI
1194002923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17684)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- DANIELA RICO
718 CRATER LAKE AVE
MEDFORD, OR 97504-6525
Phone number: 541-531-9331
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Mailing Address
-- DANIELA RICO
718 CRATER LAKE AVE
MEDFORD, OR 97504-6525
Phone number: 541-531-9331
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