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Individual

MICHELLE JO WHIPPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 ELK ST, MEDFORD, OR 97501-1250
(541) 601-8821
Mailing address
103 ELK ST, MEDFORD, OR 97501-1250
(541) 601-8821

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20136
OR

Other

Enumeration date
12/01/2022
Last updated
12/01/2022
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