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1649474016
TANYA EILEEN LARSON
MEDFORD, OR
NPI
1649474016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13245)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- TANYA EILEEN LARSON L.M.T., NCTMB
2951 DOCTORS PARK DR
MEDFORD, OR 97504-8127
Phone number: 541-776-9813
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Mailing Address
-- TANYA EILEEN LARSON L.M.T., NCTMB
2019 AERO WAY SUITE 103, PMB 194
MEDFORD, OR 97504-9789
Phone number: 541-941-9657
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