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Organization
FUSION MASSAGE THERAPY AND BODYWORK
Active
Organization
FUSION MASSAGE THERAPY AND BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN HOLLAND LMT (LICENSED MASSAGE THERAPIST)
(503) 751-1448
Entity
Organization
Contact information
Practice address
289 E ELLENDALE AVE STE 601, DALLAS, OR 97338-1570
(503) 751-1448
Mailing address
289 E ELLENDALE AVE STE 601, DALLAS, OR 97338-1570
(503) 751-1448
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
19317
OR
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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