ROYCE ALLEN BIVENS

MEDFORD, OR
NPI1972805869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  16493)
Enumeration Date2010-11-26
Last Update Date2010-11-26
Business Address
Mr. ROYCE ALLEN BIVENS L.M.T.
2615 SPARTA WAY
MEDFORD, OR 97504-4920
Phone number: 541-778-7066
Mailing Address
Mr. ROYCE ALLEN BIVENS L.M.T.
2615 SPARTA WAY
MEDFORD, OR 97504-4920
Phone number: 541-778-7066
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