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1518039890
SUSANNAH JANE ELDER
MEDFORD, OR
NPI
1518039890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 10482)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
Ms. SUSANNAH JANE ELDER L.M.T., NCBTMB
832 E MAIN ST STE. 6
MEDFORD, OR 97504-7153
Phone number: 541-772-5939
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Mailing Address
Ms. SUSANNAH JANE ELDER L.M.T., NCBTMB
832 E MAIN ST STE. 6
MEDFORD, OR 97504-7153
Phone number: 541-772-5939
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