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1366781007
LISA M JOHNSTON
MEDFORD, OR
NPI
1366781007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18862)
Enumeration Date
2013-01-31
Last Update Date
2013-09-16
Business Address
-- LISA M JOHNSTON LMT
1200 MIRA MAR AVE C/O EMA'S SALON
MEDFORD, OR 97504
Phone number: 541-857-7365
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Mailing Address
-- LISA M JOHNSTON LMT
860 S OREGON ST
JACKSONVILLE, OR 97530-9321
Phone number: 541-499-5962
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