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1700449493
WILLIAM SHANE SKINNER
EUGENE, OR
NPI
1700449493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23806)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
WILLIAM SHANE SKINNER LMT
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401-2365
Phone number: 541-636-3278
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Mailing Address
WILLIAM SHANE SKINNER LMT
6450 TACOMA MALL BLVD STE 3
TACOMA, WA 98409-6796
Phone number: 800-689-1254
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