ILONA D KSIAZAK

MEDFORD, OR
NPI1730626789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  21964)
Enumeration Date2017-01-30
Last Update Date2017-01-30
Business Address
-- ILONA D KSIAZAK LMT
132 W MAIN ST
MEDFORD, OR 97501-2746
Phone number: 541-772-2633
Mailing Address
-- ILONA D KSIAZAK LMT
1040 BRANDI WAY
CENTRAL POINT, OR 97502-2923
Phone number: 815-531-4495
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