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Individual

ANDIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 CHARNELTON ST, EUGENE, OR 97401-6214
(541) 206-4471
Mailing address
147 BLAZER AVE, EUGENE, OR 97404-4205

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26412
OR

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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