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1548469158
CARLA JENIFER FUERST
MEDFORD, OR
NPI
1548469158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14158)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
Ms. CARLA JENIFER FUERST L.M.T
977 ROYAL AVE
MEDFORD, OR 97504-6140
Phone number: 541-779-8331
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Mailing Address
Ms. CARLA JENIFER FUERST L.M.T
977 ROYAL AVE
MEDFORD, OR 97504-6140
Phone number: 541-779-8331
Copy
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