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1912319203
LIETA KATHLEEN TAYSOM
KLAMATH FALLS, OR
NPI
1912319203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20367)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
-- LIETA KATHLEEN TAYSOM LMT
1775 WASHBURN WAY SUITE A.
KLAMATH FALLS, OR 97603-4304
Phone number: 541-887-2507
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Mailing Address
-- LIETA KATHLEEN TAYSOM LMT
PO BOX 8051
YAKIMA, WA 98908-0051
Phone number: 509-469-1903
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