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1801437157
JOSEPH MICKETTI
ASHLAND, OR
NPI
1801437157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 4348)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
MR. JOSEPH MICKETTI LMT
279 LIBERTY ST
ASHLAND, OR 97520-2901
Phone number: 541-482-0413
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Mailing Address
MR. JOSEPH MICKETTI LMT
1467 SISKIYOU BLVD # 53
ASHLAND, OR 97520-2336
Phone number: 541-482-0413
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