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1992904429
MIA N DEANE
MEDFORD, OR
NPI
1992904429
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Former Name
MIA N HULIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13269)
Enumeration Date
2007-07-14
Last Update Date
2007-07-14
Business Address
Mrs. MIA N DEANE LMT
1150 CRATER LAKE AVE STE. G
MEDFORD, OR 97504-6213
Phone number: 541-857-4540
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Mailing Address
Mrs. MIA N DEANE LMT
2408 BELL CT
MEDFORD, OR 97504-1752
Phone number: 541-261-6170
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