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Individual

MS. SANDRA LEE CLEGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
4747 KILAUEA AVE, STE. 115, HONOLULU, HI 96816-5308
(808) 542-1192
(808) 735-3503
Mailing address
59-821 KAMEHAMEHA HWY, HALEIWA, HI 96712-9407
(808) 542-1192
(808) 735-3503

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2300
HI

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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