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1912762576
TYRA MAE POTTER
EUGENE, OR
NPI
1912762576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27679)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
TYRA MAE POTTER LMT
591 W 19TH AVE
EUGENE, OR 97401-3827
Phone number: 541-243-7697
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Mailing Address
TYRA MAE POTTER LMT
1877 EMERALD ST APT 11
EUGENE, OR 97403-1460
Phone number: 541-206-8420
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