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Individual

DEBRA JEAN PARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT/RYT

Contact information

Practice address
306 SW COAST HWY STE 200, NEWPORT, OR 97365-4903
(541) 961-2716
Mailing address
271 MOONSHINE PARK RD, LOGSDEN, OR 97357-9704
(999) 999-9999

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3416
OR

Other

Enumeration date
11/13/2018
Last updated
11/13/2018
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