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Individual

MS. KEDDAH NICHOLE CLEMENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
371 SW UPPER TERRACE DR STE 2, BEND, OR 97702-1560
(541) 678-0010
(541) 323-6131
Mailing address
PO BOX 1411, LA PINE, OR 97739-1411
(541) 408-3906

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26662
OR

Other

Enumeration date
11/21/2023
Last updated
11/21/2023
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