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1295257574
LONNIE GENE SMITH
MEDFORD, OR
NPI
1295257574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20854)
Enumeration Date
2017-07-08
Last Update Date
2022-07-21
Business Address
Mr. LONNIE GENE SMITH LMT, BS
1904 SKY PARK DR
MEDFORD, OR 97504-4735
Phone number: 541-773-2999
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Mailing Address
Mr. LONNIE GENE SMITH LMT, BS
85 CRATER LN
CENTRAL POINT, OR 97502-1866
Phone number: 541-281-9909
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