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1942981329
ABIGAIL SOUTHGATE
MEDFORD, OR
NPI
1942981329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15967)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
Ms. ABIGAIL SOUTHGATE LMT
3132 STATE ST
MEDFORD, OR 97504-8688
Phone number: 541-324-6584
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Mailing Address
Ms. ABIGAIL SOUTHGATE LMT
3132 STATE ST
MEDFORD, OR 97504-8688
Phone number: 541-324-6584
Copy
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