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1437976743
MICHAEL FREDERICK
BROOKINGS, OR
NPI
1437976743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10386)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
MICHAEL FREDERICK LMT
16883 YELLOWBRICK RD
BROOKINGS, OR 97415-9272
Phone number: 541-661-5347
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Mailing Address
MICHAEL FREDERICK LMT
16883 YELLOWBRICK RD
BROOKINGS, OR 97415-9272
Phone number: 541-661-3585
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