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1508074873
MARA MARIA SPANG
BANDON, OR
NPI
1508074873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 4075)
Enumeration Date
2007-05-19
Last Update Date
2007-07-08
Business Address
-- MARA MARIA SPANG LMT
184 11TH ST SE
BANDON, OR 97411-9000
Phone number: 541-290-6668
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Mailing Address
-- MARA MARIA SPANG LMT
PO BOX 1164
BANDON, OR 97411-1164
Phone number: 541-290-6668
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