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1790800563
CORIE WAITE
MEDFORD, OR
NPI
1790800563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11297)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- CORIE WAITE LMT
977 ROYAL AVE
MEDFORD, OR 97504-6140
Phone number: 541-779-8331
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Mailing Address
-- CORIE WAITE LMT
3474 LONE PINE RD
MEDFORD, OR 97504-5635
Phone number: 541-301-0697
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