LAKEN ELAINE BUSSARD

BEND, OR
NPI1588380539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  27111)
Enumeration Date2022-10-12
Last Update Date2022-10-12
Business Address
LAKEN ELAINE BUSSARD
447 NE GREENWOOD AVE
BEND, OR 97701-4607
Phone number: 541-213-0933
Mailing Address
LAKEN ELAINE BUSSARD
20894 NOVA LOOP UNIT 1
BEND, OR 97701-4080
Phone number: 614-813-3842
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