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Individual

HEATHER MUCHMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2975 RIVER RD S, SALEM, OR 97302-9754
(503) 400-6110
Mailing address
1051 MANDARIN ST NE, KEIZER, OR 97303-3527
(541) 870-6418

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20490
OR

Other

Enumeration date
07/02/2015
Last updated
07/02/2015
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