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1548745557
KATIE ANNE BENNETT
MEDFORD, OR
NPI
1548745557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24569)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
KATIE ANNE BENNETT
820 CRATER LAKE AVE STE 113
MEDFORD, OR 97504-6581
Phone number: 541-770-1606
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Mailing Address
KATIE ANNE BENNETT
3794 WINDGATE ST
MEDFORD, OR 97504-9163
Phone number:
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